Grover Baxley MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GROVER BAXLEY MD

Practice address

51 Ocean Ave
Cataumet, MA 02534

Phone

(508) 563-5507

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Sheila V Souza

Title

Billing Agency

Phone

(508) 548-8989

Specialties & licenses 1

Addresses

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.

• Grover Baxley, MD

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1912961707
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1891978474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905",
            "telephone_number": "508-548-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 OCEAN AVE",
            "city": "CATAUMET",
            "state": "MA",
            "postal_code": "02534",
            "telephone_number": "508-563-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVER BAXLEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING AGENCY",
        "authorized_official_telephone_number": "508-548-8989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Cataumet, MA
• Providers in Cataumet, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.