MEDICARE: JAMES DANIEL BAXTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD0000039152	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	181577	OTHER	TN	BETTER HEALTH PLANS OF TN
2	4124946	OTHER	TN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	33816	OTHER	TN	TLC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750345807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES DANIEL BAXTER M.D.

Provider Business Mailing Address
First Line	:	7100 COMMERCE WAY
Second Line	:	SUITE 180
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2851
Country	:	US
Telephone Number	:	615-465-7000
Fax Number	:	615-465-3007

Provider Business Practice Location Address
First Line	:	705 E POPLAR AVE
Second Line	:
City	:	SELMER
State	:	TN
Zip	:	38375-1828
Country	:	US
Telephone Number	:	731-646-2181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	09/30/2008

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