Mark C Baxter is a Foot Surgery in Kingsport, Tennessee. Mark C Baxter practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Mark C Baxter is 1386634301. The last update date is 2013-07-12.
Mark C Baxter's current location address is 421 W Stone Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232454100 and fax number 4232450463. The mailing address for Mark C Baxter is 421 W Stone Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C Baxter |
|---|---|
| Address | 421 W Stone Dr, Kingsport, Tennessee |
| Phone Number | 4232454100 |
| Fax Number | 4232450463 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1386634301 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2013-07-12 |
Provider Mailing Address Detail
| Address | 421 W Stone Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376603269 |
| Phone Number | 4232454100 |
| Fax Number | 4232450463 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | DPM000000035 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100010536 | TN | PHP | |
| 216412 | VA | ANTHEM | |
| 62-1402649 | EMPLOYER IDENTIFICATION # | ||
| 480007576 | TN | UNITED HEALTH CARE RAIL R | |
| 7510238 | TN | AETNA | |
| 3351572 | TN | -- | |
| 621402649 | TN | UNITED HEALTH CARE RIVER | |
| 0093-2019-9 | VA | VA MEDICAID | |
| 89548 | TN | BCBS OF TN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark C Baxter?
The Mark C Baxter has been issued the NPI (National Provider Identifier) 1386634301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mark C Baxter?
The Mark C Baxter is situated at 421 W Stone Dr, in the city of Kingsport, state of TN, with the zip code 376603269.
What is the Mark C Baxter's specialty and taxonomy code?
The Mark C Baxter's specialty is Foot Surgery, and the corresponding taxonomy code is 213Es0131X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386634301 to Mark C Baxter?
The Mark C Baxter received its 1386634301 assignment from the Centers for Medicare & Medicaid Services on 2005-10-21.
When was the information regarding Mark C Baxter most recently updated?
The details pertaining to the Mark C Baxter, including its address, specialty, and other relevant information, were last refreshed on 2013-07-12.