Active NPI
Allyson Baker, MD
- Anatomic Pathology Physician
- Birmingham, AL
National Provider Identifier
1144279654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 24402
- Practice address
- 924 Montclair Rd
Suite 200
Birmingham, AL 35213-1211 - Phone
- (205) 591-7999
- Fax
- (205) 591-5051
- NPI assigned
- May 10, 2006
- Last updated
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 24402 | AL | Primary |
Addresses
Primary practice location
924 Montclair Rd
Suite 200
Birmingham, AL 35213-1211
Mailing address
924 Montclair Rd
Suite 200
Birmingham, AL 35213-1211
Phone (205) 591-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009912323 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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 |
|---|---|---|---|---|
| I20060718000314 | AL | Practitioner - Pathology | 9133132012 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24402 | AL | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DW McMillan Memorial Hospital | Current | Accepting new patients | |
| DW McMillan Memorial Hospital | Current | Accepting new patients | |
| Vivid Pathology PA | Current | Accepting new patients |
Locations
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1144279654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 MONTCLAIR RD",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131211",
"telephone_number": "205-591-7999",
"fax_number": "205-591-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 MONTCLAIR RD",
"address_2": "SUITE 200",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131211",
"telephone_number": "205-591-7999",
"fax_number": "205-591-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ALLYSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "AL",
"license": "24402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912323",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.