Kevin Ray Baxter
Ophthalmology

Address: 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408
Phone: 5742713939

Kevin Ray Baxter (NPI# 1609161686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609161686
Entity Type Individual
Full Name Kevin Ray Baxter
Credential D.O.
Gender Male
Practice Address 230 E Day Rd
Ste 100
Mishawaka
IN 46545-3408
Practice Telephone 5742713939
Practice Fax Number 5742713941
Mailing Address 230 E Day Rd
Ste 100
Mishawaka
IN 46545-3408
Mailing Telephone 5742713939
Mailing Fax Number 5742713941
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-06-17
Last Update Date 2015-07-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207W00000X Ophthalmology Allopathic & Osteopathic Physicians 02004614A IN
No 207W00000X Ophthalmology Allopathic & Osteopathic Physicians 510109282 MI

Other Provider Identifier

State Identifier Issuer Type Code
IN 204460004 OTHER MEDICARE PTAN
IN 201292460 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1780681080 Kevin J Baxter Family Medicine 2055 Exchange Street, Suite 210, Astoria, OR 97103 2005-06-30

Physician Overview

NPI 1609161686
PAC ID by PECOS 8123339942
Professional Enrollment ID I20150622000372
Full Name Kevin R Baxter
Organization Legal Name MICHIANA EYE CENTER LLC
Phone Number 5742713939
Gender M
Medical School OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2011
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 3173595634
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150076 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912907585 Gabriele Eye Institute Ophthalmology 3730 Edison Lakes Pkwy, Mishawaka, IN 46545-3424 2005-07-26
1366854051 Laura Anne Cavadini Ophthalmology 230 E Day Rd Ste 100, Mishawaka, IN 46545 2014-05-29
1316240237 Midwest Eye Consultants, P.C. Ophthalmology 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 2010-12-15
1326264888 Vanessa E Ngakeng Ophthalmology 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 2007-04-17
1265419881 Richard D Weiss Ophthalmology 230 E Day Rd, 100, Mishawaka, IN 46545-3408 2005-12-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346860947 Timecertain, PC Ophthalmology 3530 S Keystone Ave, Indianapolis, IN 46227-3611 2020-04-23
1316566797 Visionary Eye Specialists LLC Ophthalmology 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 2020-04-15
1467003756 Rachel Davis Ophthalmology 14637 N Gray Rd, Westfield, IN 46062-9274 2019-09-27
1255986162 Northeast Ophthalmology P C Ophthalmology 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 2019-08-07
1033631098 Cataract Vision Institute Indiana LLC Ophthalmology 11595 North Meridian, Ste 175, Carmel, IN 46032 2017-07-12
1356703821 Anjulie Gang Ophthalmology 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 2016-03-24
1215302567 Chad R. Kauffman, Do, LLC Ophthalmology 7615 Dean Rd, Indianapolis, IN 46240-3635 2015-12-10
1609240613 Benjamin C Campbell Ophthalmology 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 2015-11-15
1649665241 Kevin Bubel Ophthalmology 759 45th St Ste 101, Munster, IN 46321-2939 2015-03-31
1467871194 Mimi Merrillyn Chung Ophthalmology 1400 N. Ritter, #281 Community East, Community Eye Care of Indiana, Inc., Indianapolis, IN 46219 2014-04-09
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Office Location

Street Address 230 E DAY RD
STE 100
City MISHAWAKA
State IN
Zip Code 46545-3408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861496432 David F. Sonego Specialist 230 E Day Rd, # 160, Mishawaka, IN 46545-3463 2005-06-10
1821474743 Truelove Sleep Solutions, Inc Dentist 230 E Day Rd, Suite 150, Mishawaka, IN 46545-3408 2015-08-03
1891100020 Lauren Sanchez Optometrist 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 2014-06-26
1508155664 Physicians Holistic Health Alliance, LLC Family Medicine 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3408 2011-03-29
1003076530 Stephanie Marie Baxter Optometrist 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 2008-06-09
1063575108 David F Sonego Md PC & Associates Counselor 230 E Day Rd, Ste 160, Mishawaka, IN 46545-3463 2006-12-19
1689692188 Miles Burton Andrew Dermatology 230 E Day Rd, Suite 130, Mishawaka, IN 46545-3408 2006-07-17
1104854942 Andrew R Anderson Optometrist 230 E Day Rd, 100, Mishawaka, IN 46545-3408 2006-06-29
1063460160 Institute for Orthopedic and Nerve Surgery Orthopaedic Surgery 230 E Day Rd, Suite 130, Mishawaka, IN 46545-3408 2006-05-04
1093774630 Jennifer Smith Cummings Psychologist 230 E Day Rd, #160, Mishawaka, IN 46545-3463 2006-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
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Competitor

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City MISHAWAKA
Zip Code 46545

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.