Active NPI
John C. Baker, D.O.
- Family Medicine Physician
- Newton Falls, OH
National Provider Identifier
1205987666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-003006
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535531 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- HMHP St Elizabeth Boardman Health Center
- MH St Elizabeth Youngstown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-003006 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Warren, OH
- NPI 1982610788
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.