Healthcare Provider Details

I. General information

NPI: 1144255100
Provider Name (Legal Business Name): CLAXTON ALLEN BAER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 N JOHN B DENNIS HWY
KINGSPORT TN
37660-4772
US

IV. Provider business mailing address

9050 EXECUTIVE PARK DR STE 202A
KNOXVILLE TN
37923-4670
US

V. Phone/Fax

Practice location:
  • Phone: 865-338-5432
  • Fax:
Mailing address:
  • Phone: 865-588-0811
  • Fax: 865-934-3884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number050493
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number200400451
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101281793
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number70159
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: