NPIMap

Organization Active NPI

Steven Baak, MD LLC

  • Rheumatology Physician
  • Bridgeton, MO
National Provider Identifier
1073999520
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
105235 Issued in MO
Legal business name
STEVEN BAAK, MD LLC
Practice address
3440 De Paul LN
Suite 113
Bridgeton, MO 63044-3545
Phone
(314) 942-6464
Fax
(314) 492-4636
NPI assigned
Aug 7, 2015
Last updated
Apr 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Steven W Baak, M.D.
Title
Medical Director
Phone
(314) 942-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 105235 MO Primary

Addresses

Primary practice location

3440 De Paul LN
Suite 113
Bridgeton, MO 63044-3545

Mailing address

3440 De Paul LN
Suite 113
Bridgeton, MO 63044-3545
Phone (314) 942-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160418001868 MO Part B Supplier - Clinic/Group Practice 7113225541 Receives reassigned benefits from 5 practitioners
Practice locations: Bridgeton, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

3440 De Paul Ln
Ste 113
Bridgeton, MO 63044
Phone (314) 942-6464

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1073999520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 DE PAUL LN",
            "address_2": "SUITE 113",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443545",
            "telephone_number": "314-942-6464",
            "fax_number": "314-492-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 DE PAUL LN",
            "address_2": "SUITE 113",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443545",
            "telephone_number": "314-942-6464",
            "fax_number": "314-492-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN BAAK, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "BAAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-942-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "105235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.