Stuart Flint Baker V, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036060776 Issued in IL

Practice address

2 Memorial Dr Ste 310
Decatur, IL 62526-3983

Phone

(217) 877-9000

Fax

(217) 877-9615

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1114918489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 310",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263983",
            "telephone_number": "217-877-9000",
            "fax_number": "217-877-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMORIAL DR STE 310",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263983",
            "telephone_number": "217-877-9000",
            "fax_number": "217-877-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STUART",
        "middle_name": "FLINT",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036060776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Bailey, LCPC
• Timothy S Bailey, M.D.
• Janet E Baird
• Adarsh Bairsetty, MD
• Carleigh Baker
• Terry Balagna, M.D.
• Shelly L. Baldwin
• Mohammud Baleegh, D.O.
• Brooke Nicole Ballard, M.D.
• Brittany Nicole Balven

• Plastic Surgery Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.