Active NPI
Kirkman G Baxter, MD
- Diagnostic Radiology Physician
- Canton, OH
National Provider Identifier
1720079684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35 077495
- Practice address
- 2600 6TH St SW
Radiology Associates of Canton, Inc - Attn: Cecilia
Canton, OH 44710-1702 - Phone
- (330) 363-2842
- Fax
- (330) 580-5536
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 35 077495 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35 077495 | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Radiology Associates of Canton, Inc - Attn: Cecilia
Canton, OH 44710-1702
Mailing address
PO Box 26035
Radiology Associates of Canton, Inc
Akron, OH 44319-6035
Phone (330) 493-0840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2193255 | Medicaid | OH | |
| 300136937 | Other | OH | RAILROAD MEDICARE |
| 300112746 | Other | OH | RAILROAD MEDICARE |
| P00396876 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 077495 | OH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1720079684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26035",
"address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC",
"city": "AKRON",
"state": "OH",
"postal_code": "443196035",
"telephone_number": "330-493-0840",
"fax_number": "330-493-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-363-2842",
"fax_number": "330-580-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "KIRKMAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"license": "35 077495",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35 077495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2193255",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300136937",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300112746",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00396876",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.