Individual provider Active NPI

Laura June Solon Baker, M.D.

  • Anesthesiology Physician
  • Jacksonville, FL
National Provider Identifier
1194892869
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME79370 Issued in FL
Practice address
5105 Bowden Rd
Jacksonville, FL 32216-5907
Phone
(904) 374-0260
Fax
(904) 619-5463
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 026136 CT
Anesthesiology Physician 207L00000X 152815 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X ME79370 FL
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME79370 FL
Primary Care Clinic/Center 261QP2300X ME79370 FL
Anesthesiology Physician 207L00000X ME79370 FL Primary

Addresses

Primary practice location

5105 Bowden Rd
Jacksonville, FL 32216-5907

Mailing address

5105 Bowden Rd
Jacksonville, FL 32216-5907
Phone (813) 362-1171

Other identifiers 1

IdentifierTypeStateIssuer
258429800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210506002616 FL Practitioner - Family Practice 1153385521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026136CTMDAnesthesiology Physician
152815NYMDAnesthesiology Physician
ME79370FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parthenon Medical PLLC Single Specialty CurrentSince Jan 12, 2021 Accepting new patients
Liquid Logic RX Past Accepting new patients

Locations

5105 Bowden Rd
Ste 3
Jacksonville, FL 32216
Phone (904) 660-7896

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1194892869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "813-362-1171",
            "fax_number": "813-221-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "904-374-0260",
            "fax_number": "904-619-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLON BAKER",
        "first_name": "LAURA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "026136",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "152815",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME79370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79370",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79370",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME79370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258429800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.