Charles E Baxter, D.C.
Individual provider Active NPI Chiropractor · Athol, MA
NPI 1992824536 · NPPES record last updated Aug 25, 2016
Key facts
- NPI
- 1992824536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1996 (MA)
- Practice address
- 123 S Main St
Athol, MA 01331-2131 - Phone
- (978) 249-2225
- Fax
- (978) 249-7982
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baxter Chiropractor, P.C.
Practice addresses (Care Compare)
109 Lumber St
Athol, MA 01331-2219
Phone (978) 249-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060425000599 | MA | Practitioner - Chiropractic | 5294745964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1996 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter Chiropractor, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
123 S Main St
Athol, MA 01331
Phone (978) 249-2225
109 Lumber St
Athol, MA 01331
Phone (978) 249-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1996 | MA | Yes |
Addresses
Primary practice location
123 S Main St
Athol, MA 01331-2131
Mailing address
109 Lumber St
Athol, MA 01331-2219
Phone (978) 249-2225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1612999 | Medicaid | MA |
Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.