NPI 1164728366 · live from the CMS NPI Registry
Erin E. Baxter, PA-C
Physician Assistant, Medical in Broken Arrow, OK. National Provider Identifier 1164728366, active.
NPI record
| NPI | 1164728366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1801 E Kenosha St, Broken Arrow, OK 74012 |
| Practice phone | 918-449-4150 |
| Mailing address | 6600 S Yale Ave Ste 1200, Tulsa, OK 74136 |
| Enumerated | February 4, 2011 |
| Last updated | August 10, 2022 |
| Sole proprietor | No |
| Other names | Erin Doane |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 1983 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.