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General NPI Number Information
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NPI Number | 1487145264
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Entity Type | Individual
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Provider Name | CHASE ANDREW BAXTER DO
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Gender | Male
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Dates
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Enumeration Date | 05/28/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 4 MEMORIAL DR STE 230
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City | ALTON
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State | IL
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Zip | 62002-6704
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Country | US
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Telephone | 314-653-5643
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Fax | 314-653-5648
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Provider Business Mailing Address
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Address Line | 660 MASON RIDGE CENTER DR STE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8512
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Country | US
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Telephone | 314-448-3791
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Fax | 314-996-7658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036170121
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036.170121
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License Number State | IL
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