BAXTER MCLENDON


Address: 333 Revolutionary Trl, Fairfax, SC 29827-7109
Phone: 8036322533

BAXTER MCLENDON (NPI# 1033160254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033160254
Entity Type Individual
Full Name BAXTER MCLENDON
Credential M.D.
Practice Address 333 Revolutionary Trl
Fairfax
SC 29827-7109
Mailing Address Po Box 599
Brunson
SC 29911-0599
Practice Telephone 8036322533
Practice Fax Number 8036322451
Mailing Telephone 8036321699
Mailing Fax Number 8036322451
Enumeration Date 2006-05-12
Last Update Date 2013-01-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 6266 SC Other Service Providers
Y 207W00000X Ophthalmology 6266 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 062666 05
SC GP1355 05
SC GP2629 05

Office Location

Street Address 333 REVOLUTIONARY TRL
City FAIRFAX
State SC
Zip Code 29827-7109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851656243 Wanda W Tutt Dietitian, Registered 333 Revolutionary Trl, Fairfax, SC 29827-7109 2012-07-11
1649414905 Walter R Kirby Physician Assistant 333 Revolutionary Trl, Fairfax, SC 29827-7109 2009-04-29
1104979061 Delois Daniels Nurse Practitioner 333 Revolutionary Trl, Fairfax, SC 29827-7109 2007-01-22
1164516209 Bobbie Franklin Ayers Jr. Family Medicine 333 Revolutionary Trl, Fairfax, SC 29827-7109 2006-10-03
1538170121 Lucille Miley Sanders Nurse Practitioner 333 Revolutionary Trl, Fairfax, SC 29827-7109 2006-08-10
1003820531 Richard Boyles Family Medicine 333 Revolutionary Trl, Fairfax, SC 29827-7109 2006-07-28
1407878366 Janet M Mckissick Family Medicine 333 Revolutionary Trl, Fairfax, SC 29827-7109 2006-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467843078 We Care Family Resource LLC Point of Service 513 Bayshore Dr., Fairfax, SC 29827 2015-02-18
1154606440 Robert M. Haberkorn Dds Clinic/Center 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 2011-10-18
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1588623540 Rebecca Lynn Wilkes Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2006-03-20
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1588815021 James Robert Mynatt Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2008-10-02
1063607646 Mol Ky General Practice 333 Revolutionary Trail, Fairfax, SC 29827 2007-09-07
1053475566 Low Country Health Care System, Inc Pharmacy 333 Revolutionary Trail, Farifax, SC 29827 2006-12-20
Find all providers in zip 29827

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
1649619305 Northern Virginia Eye Physicians, PC Ophthalmology 10721 Main St Ste 3200, Fairfax, VA 22030-6906 2013-06-17
1205024692 Fairfax Eye Center, PC Ophthalmology 3650 Joseph Siewick Dr Ste 303, Fairfax, VA 22033-1714 2007-10-10
1689894578 Prema Modak Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2007-04-26
1376766816 John Phillip Essepian IIi Ophthalmology 3031 Javier Rd Ste 300, Fairfax, VA 22031-4638 2007-04-11
1750427555 John Robert Minarcik Jr. Ophthalmology 8505 Arlington Blvd Ste 300, Fairfax, VA 22031-4630 2007-01-29
1881663102 Fairfax Eye Associates Inc Ophthalmology 9936 Main St, Fairfax, VA 22031 2006-03-17
1407824394 Jacqueline Jiang Fredrick Ophthalmology 12011 Lee Jackson Mem Hwy #305, Fairfax, VA 22033 2006-03-08
1003814534 David Benjamin Summer Ophthalmology 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 2005-07-08
1982067112 Meghan Giurintano Moroux Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2016-04-04
1275904674 Eye Specialists and Surgeons of Northern Virginia, LLC Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2015-10-12
Find all providers in FAIRFAX

Competitor

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City FAIRFAX
Zip Code 29827

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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.

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