Active NPI
Terrance L Baker MD
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1154476091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TERRANCE L BAKER MD
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2905 - Phone
- (410) 592-9889
- Fax
- (410) 592-8464
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrance Lee Baker, MD
- Title
- Owner
- Phone
- (410) 592-9889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nursing Facility/Intermediate Care Facility | 313M00000X | D0058570 | MD |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Mailing address
7027 Mount Vista Rd
Kingsville, MD 21087-1331
Phone (410) 592-9889
National Provider Directory
National Provider DirectoryLocations
3700 Koppers St
Ste 100
Halethorpe, MD 21227
Phone (410) 323-0777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rockville, MD
- NPI 1083774632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1154476091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7027 MOUNT VISTA RD",
"city": "KINGSVILLE",
"state": "MD",
"postal_code": "210871331",
"telephone_number": "410-592-9889",
"fax_number": "410-592-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-592-9889",
"fax_number": "410-592-8464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRANCE L BAKER MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-592-9889",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MD",
"license": "D0058570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.