Individual provider Active NPI

John C. Baker, D.O.

  • Family Medicine Physician
  • Newton Falls, OH
National Provider Identifier
1205987666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-003006 Issued in OH
Practice address
1978 Milton Blvd
Newton Falls, OH 44444-9793
Phone
(330) 872-1336
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-003006 OH Primary

Addresses

Primary practice location

1978 Milton Blvd
Newton Falls, OH 44444-9793

Mailing address

1978 Milton Blvd
Newton Falls, OH 44444-9793
Phone (330) 872-1336

Other identifiers 1

IdentifierTypeStateIssuer
0535531MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120203000496 OH Practitioner - Family Practice 8820255706 Practice locations: Newton Falls, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1978 Milton Blvd
Newton Falls, OH 44444-9795
Phone (330) 872-1336

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-003006OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbaker35167@direct.bsmhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205987666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 MILTON BLVD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444449793",
            "telephone_number": "330-872-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 MILTON BLVD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444449793",
            "telephone_number": "330-872-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-003006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

Verify at the official NPI Registry.