Washington D. Baquero, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WASHINGTON D. BAQUERO, MD, PA

Practice address

1705 Colonial Blvd
Ste C-1
Fort Myers, FL 33907-1195

Phone

(239) 275-4141

Fax

(239) 275-4879

NPI assigned

Feb 15, 2007

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Washington D. Baquero, M.D.NPI 1962509521

Title

Physician

Phone

(239) 275-4141

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Washington Dario Baquero, MD

  • Addiction Medicine (Family Medicine) Physician
  • Fort Myers, FL
  • NPI 1962509521
  Medicare reassignment NPD Authorized official
• Jane E Gertz, CRNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1962474825
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1124161542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD",
            "address_2": "STE C-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071195",
            "telephone_number": "239-275-4141",
            "fax_number": "239-275-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD",
            "address_2": "STE C-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071195",
            "telephone_number": "239-275-4141",
            "fax_number": "239-275-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON D. BAQUERO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BAQUERO",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-275-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038989700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Charles Wartinger, AU.D.
• Rowan Jamal Washah
• Jennifer Denise Washburn, MS,OTR
• Michael E Washburn, DPT
• Alexis Nicole Washel, RBT
• Priscilla Nichole Washington, CRNA
• Denise M Waszkowski, APRN
• Kristi Irene Waterhouse, RN
• Jessica Lee Waterman, CCC-SLP
• Bria Waters, LCSW

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.