Organization Active NPI

Keith a. Baker, D.O., P.a.

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1043264245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS4653 Issued in FL
Legal business name
KEITH A. BAKER, D.O., P.A.
Practice address
418 SW 47TH Ter
Cape Coral, FL 33914-6506
Phone
(239) 945-1919
Fax
(239) 945-2392
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith A Baker, D.O.
Title
President
Phone
(239) 945-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS4653 FL Primary

Addresses

Primary practice location

418 SW 47TH Ter
Cape Coral, FL 33914-6506

Mailing address

PO Box 152387
Cape Coral, FL 33915-2387
Phone (239) 945-1910

Other names 1

  • Laurel Oak Medical Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043264245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152387",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339152387",
            "telephone_number": "239-945-1910",
            "fax_number": "239-945-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SW 47TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146506",
            "telephone_number": "239-945-1919",
            "fax_number": "239-945-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. BAKER, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-945-1910",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Oak Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.