Rick Baxley M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 48761 Issued in FL

Legal business name

RICK BAXLEY M.D., P.A.

Practice address

2629 Edgewater Dr
Orlando, FL 32804-4459

Phone

(407) 246-7001

Fax

(407) 246-7009

NPI assigned

Oct 25, 2006

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Konnie Kay Cohrs

Title

Office Manager

Phone

(407) 246-7001

Specialties & licenses 1

Addresses

Locations

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.

• Richard Dale Baxley, M.D.

  • Adult Medicine Physician
  • Key Largo, FL
  • NPI 1619053493

  Family Medicine

  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1942384771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044459",
            "telephone_number": "407-246-7001",
            "fax_number": "407-246-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044459",
            "telephone_number": "407-246-7001",
            "fax_number": "407-246-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK BAXLEY M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "COHRS",
        "authorized_official_first_name": "KONNIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-246-7001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 48761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Richter
• Henry J Richter, MD
• Katy Richter
• Nicole Elise Richter
• Sarah N Richter, CTRS
• Justine Ricker, PA-C
• Sandy G. Ricket, RRT
• Nneka C. Ricketts-Cameron, RD
• Jamaga Ricketts
• Yanica Ricketts, NP-C

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.