Individual provider Active NPI

Lawrence Vernon Baker

  • Surgery Physician
  • Jasper, AL
National Provider Identifier
1053492835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7350 Issued in AL
Practice address
3400 Highway 78 E
Med Arts Tower Ste 502
Jasper, AL 35501-8907
Phone
(205) 221-4916
Fax
(205) 221-4939
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7350 AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Med Arts Tower Ste 502
Jasper, AL 35501-8907

Mailing address

3400 Highway 78 E
Med Arts Tower Ste 502
Jasper, AL 35501-8907
Phone (205) 221-4916

Other identifiers 1

IdentifierTypeStateIssuer
528300590MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000589 AL Practitioner - General Surgery 2466409495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richardson and Baker PCGroup PAC ID 7113974148, 5 clinicians

Practice addresses (Care Compare)

1446 Jones Dairy Rd
Suite 100
Jasper, AL 35501-6117
Phone (205) 221-4916

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7350ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richardson & Baker PC Surgery CurrentSince Oct 1, 1985 Accepting new patients
Surgical Specialists Group, LLC PastSince Mar 1, 2007 Accepting new patients
K.C. Surgical Associates, PC Surgery Past Accepting new patients

Locations

1446 Jones Dairy Rd
Ste 100
Jasper, AL 35501
Phone (205) 221-4916

3400 Highway 78 E
Ste 502
Jasper, AL 35501
Phone (205) 221-4916

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01I0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053492835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MED ARTS TOWER STE 502",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-4916",
            "fax_number": "205-221-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MED ARTS TOWER STE 502",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-4916",
            "fax_number": "205-221-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LAWRENCE",
        "middle_name": "VERNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "7350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528300590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.