Individual provider Active NPI

Jordanna Lynn Baker, DPM

  • Foot Surgery Podiatrist
  • Florence, SC
National Provider Identifier
1063665636
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
610 Issued in SC
Practice address
218 Dozier Blvd Ste B
Florence, SC 29501-4075
Phone
(843) 286-5150
Fax
(843) 919-0560
NPI assigned
Oct 28, 2008
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot Surgery Podiatrist 213ES0131X 610 SC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3416 FL

Addresses

Primary practice location

218 Dozier Blvd Ste B
Florence, SC 29501-4075

Mailing address

218 Dozier Blvd Ste B
Florence, SC 29501-4075
Phone (843) 286-5150

Other practice location 1

230 Cherokee Rd
Florence, SC 29501-5225
Phone (843) 790-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000839 SC Practitioner - Podiatry 7810181872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 Dozier Blvd
Suite B
Florence, SC 29501-4075
Phone (843) 286-5150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions14
Removal of nail tissue987
Removal or shaving of skin growth287
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
610SCMDRegistered Dietitian
PO3416FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Jordanna Baker, LLC Foot & Ankle Surgery CurrentSince Jun 15, 2020 Accepting new patients
Physicians Footcare, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

218 Dozier Blvd
Ste B
Florence, SC 29501
Phone (843) 286-5150

230 Cherokee Rd
Florence, SC 29501
Phone (843) 669-7044

Organizations & group practices 2

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1063665636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DOZIER BLVD STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014075",
            "telephone_number": "843-286-5150",
            "fax_number": "843-919-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DOZIER BLVD STE B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014075",
            "telephone_number": "843-286-5150",
            "fax_number": "843-919-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Cherokee Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295015225",
            "country_code": "US",
            "telephone_number": "843-790-3338",
            "fax_number": "843-731-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JORDANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "610",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.