Active NPI
Jeffrey Thayne Baker
- Emergency Medicine Physician
- Loveland, CO
National Provider Identifier
1124052949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0035303
- Practice address
- 2000 N. Boise Ave.
Loveland, CO 80538-7282 - Phone
- (970) 635-4071
- Fax
- (303) 306-7753
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 35303 | CO | |
| Emergency Medicine Physician | 207P00000X | DR.0035303 | CO | Primary |
Addresses
Primary practice location
2000 N. Boise Ave.
Loveland, CO 80538-7282
Mailing address
P.O. Box 173817
Denver, CO 80217-8643
Phone (303) 306-7783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P5808 | Other | CO | BCBS |
| 33583579 | Medicaid | CO | |
| 930114618 | Other | CO | RAILROAD MEDICARE |
Other names 1
- Jeffrey T. Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000620 | CO | Practitioner - Emergency Medicine | 1951598622 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35303 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Colorado Emergency Physicians, PC | Specialist | Current | Accepting new patients |
| Emergency Room Associates Limited | Emergency Medicine | Past | Accepting new patients |
Locations
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
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 and National Provider Directory roles.
-
- Specialist
- Greeley, CO
- NPI 1568498905
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770586869
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1124052949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 173817",
"city": "DENVER",
"state": "CO",
"postal_code": "802178643",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N. BOISE AVE.",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387282",
"telephone_number": "970-635-4071",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JEFFREY",
"middle_name": "THAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "35303",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0035303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P5808",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33583579",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930114618",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "BAKER",
"middle_name": "T.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.