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).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | 02004614A | IN |
| No | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | 510109282 | MI |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| IN | 204460004 | OTHER | MEDICARE PTAN |
| IN | 201292460 | MEDICAID |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681080 | Kevin J Baxter | Family Medicine | 2055 Exchange Street, Suite 210, Astoria, OR 97103 | 2005-06-30 |
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| Street Address |
230 E DAY RD STE 100 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3408 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
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| 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.