Organization Active NPI

The Oak Family Medicine and Acupunture, Inc

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1770798696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-053662 Issued in OH
Legal business name
THE OAK FAMILY MEDICINE AND ACUPUNTURE, INC
Practice address
4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549
Phone
(513) 271-4488
Fax
(513) 271-4737
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Clarke W BaxterNPI 1487711909
Title
Physician
Phone
(513) 271-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-053662 OH Primary

Addresses

Primary practice location

4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549

Mailing address

4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549
Phone (513) 271-4488

Other identifiers 2

IdentifierTypeStateIssuer
0687501MedicaidOH
1487711909OtherINDIV NPI FOR DR BAXTER

National Provider Directory

National Provider Directory

Locations

4760 Red Bank Rd
Ste 104
Cincinnati, OH 45227
Phone (513) 271-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770798696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RED BANK RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271549",
            "telephone_number": "513-271-4488",
            "fax_number": "513-271-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 RED BANK RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271549",
            "telephone_number": "513-271-4488",
            "fax_number": "513-271-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAK FAMILY MEDICINE AND ACUPUNTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-271-4488",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-053662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0687501",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI FOR DR BAXTER",
            "identifier": "1487711909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.