NPIMap

Organization Active NPI

Marc D Baer DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
National Provider Identifier
1093790164
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004682L Issued in PA
Legal business name
MARC D BAER DPM LLC
Practice address
931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838
Phone
(610) 642-5040
Fax
(610) 642-5042
NPI assigned
Dec 13, 2005
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Dr. Marc D Baer, DPMNPI 1871570713
Title
President
Phone
(610) 642-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00273700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X SC004682L PA Primary

Addresses

Primary practice location

931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838

Mailing address

931 E Haverford Rd FL 3
Bryn Mawr, PA 19010-3838
Phone (610) 642-5040

National Provider Directory

National Provider Directory

Locations

600 Haverford Rd
Ste G103
Haverford, PA 19041

Practitioners & affiliated clinicians

Practitioners 1

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": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1093790164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD FL 3",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-642-5040",
            "fax_number": "610-642-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD FL 3",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-642-5040",
            "fax_number": "610-642-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC D BAER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-642-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00273700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004682L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.