Active NPI
Gavin Nathan Baker, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP06485
- Practice address
- 255 W Michigan Ave
Jackson, MI 49201-2218 - Phone
- (800) 516-5315
- Fax
- (517) 787-7365
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN117613 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP06485 | LA | Primary |
Addresses
Primary practice location
255 W Michigan Ave
Jackson, MI 49201-2218
Mailing address
3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Phone (504) 779-5515
Other practice location 1
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 280-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694
8000 W Judge Perez Dr
Chalmette, LA 70043-1668
Phone (504) 309-5601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN117613 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Aec Physicians, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Childrens Hospital Anesthesia Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations (25 of 35)
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213
4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050
42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884
3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901
1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
3717 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 885-7676
2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668
4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006
3510 N Causeway Blvd
Ste 404
Metairie, LA 70002
Phone 5047795515 ext. 216
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955
3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1346574217
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1407848443
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1063709335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"address_2": "SUITE 404",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "800-516-5315",
"fax_number": "517-787-7365"
}
],
"practiceLocations": [
{
"address_1": "1001 Gause Blvd",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704582939",
"country_code": "US",
"telephone_number": "985-280-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "GAVIN",
"middle_name": "NATHAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN117613",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP06485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.