LORI A BAXTER (NPI# 1669416921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669416921 |
Entity Type | Individual |
Full Name | LORI A BAXTER |
Credential | M.D., FAAP |
Practice Address |
Cedar Creek Pediatric & Adolescent Medicine, PC 616 Smithview Drive Maryville TN 37803-6100 |
Mailing Address |
Cedar Creek Pediatric & Adolescent Medicine, PC 616 Smithview Drive Maryville TN 37803-2100 |
Practice Telephone | 8653792277 |
Practice Fax Number | 8657380087 |
Mailing Telephone | 8653792277 |
Mailing Fax Number | 8657380087 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | MD21610 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | MEDICAID | 3061228 | 01 |
TN | MEDICAL LICESNE NUMBER | MD21610 | 01 |
TN | DEA NUMBER | BB2769985 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477816973 | Lori Baxter | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2012-06-19 |
1427381037 | Lori Gayle Baxter | Registered Nurse | 2 Westbury Dr, Saint Charles, MO 63301-2558 | 2009-09-14 |
1205031473 | Lori Ann Baxter | Social Worker | 1630 E Main St, El Cajon, CA 92021-5204 | 2007-06-18 |
Street Address |
CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC 616 SMITHVIEW DRIVE |
City | MARYVILLE |
State | TN |
Zip Code | 37803-6100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578594958 | Lana G Fox | Pediatrics | Cedar Creek Pediatric & Adolescent Medicine, PC, 616 Smitvhiew Drive, Maryville, TN 37803-6100 | 2006-07-05 |
1386675569 | Shannon R Linginfelter | Nurse Practitioner | Cedar Creek Pediatric & Adolescent Medicine, PC, 616 Smithview Drive, Maryville, TN 37803-6100 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
Find all providers in zip 37803 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
1205039955 | Jennifer Anne Loethen | Pediatrics | 5 Professional Park Dr, Maryville, IL 62062-5621 | 2007-06-08 |
1659422053 | Cynthia J Easter | Pediatrics | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2007-01-15 |
1326125428 | Blount Memorial Hospital, Inc. | Pediatrics | 212 Cates St, Maryville, TN 37801-4902 | 2006-11-01 |
1700807187 | Habibur Rahman | Pediatrics | 6828 State Route 162, Suite A, Maryville, IL 62062-8500 | 2006-07-21 |
1811921026 | Whitney Elizabeth Dee | Pediatrics | 616 W Lamar Alexander Pkwy, Maryville, TN 37801-3904 | 2006-07-11 |
1093744872 | Cindy Elaine Hoover | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2006-07-02 |
1467613430 | Jenna Kathleen Neil Mccall | Pediatrics | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2008-06-22 |
1851591523 | Jennifer Dawn Krick | Pediatrics | 6828 State Route 162, Maryville, IL 62062-8500 | 2007-07-20 |
1003039223 | Cedar Creek Pediatric & Adolescent Medicine, PC | Pediatrics | 616 Smithview Dr, Maryville, TN 37803-6100 | 2007-04-10 |
Find all providers in MARYVILLE |
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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.