Active NPI
Sandra K. Baker, MD
- Family Medicine Physician
- North Wilkesboro, NC
National Provider Identifier
1215997226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200300275
- Practice address
- 1919 W Park Dr
North Wilkesboro, NC 28659-3564 - Phone
- (336) 651-2980
- Fax
- (336) 667-2047
- NPI assigned
- Mar 24, 2006
- Last updated
- May 19, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200300275 | NC | Primary |
Addresses
Primary practice location
1919 W Park Dr
North Wilkesboro, NC 28659-3564
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 651-2980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913573 | Medicaid | NC |
Other names 1
- Mrs. Sandra K. Pardo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Family Medicine | Family Medicine | Past | Accepting new patients |
| West Caldwell Health Council, Inc. | Past | Accepting new patients | |
| Western Rockingham Family Medicine PA | Family Medicine | Past | Accepting new patients |
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.
-
dba Happy Valley Medical Center
- Federally Qualified Health Center (FQHC)
- Lenoir, NC
- NPI 1467513143
-
- Family Medicine Physician
- Madison, NC
- NPI 1548220882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1215997226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-651-2980",
"fax_number": "336-667-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W PARK DR",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593564",
"telephone_number": "336-651-2980",
"fax_number": "336-667-2047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SANDRA",
"middle_name": "K.",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200300275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913573",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "PARDO",
"middle_name": "K.",
"prefix": "MRS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Wilkesboro, NC
- Derwood Lee Ashworth, D.D.S., M.SC.O.
- Ats of North Carolina, LLC (Mountain Health Solutions North Wilkesboro)
- Wun CHI Augustin, D.O.
- Autumn Oak Home Care LLC
- Savanna Lynn Badgett, PTA
- Susan Suddreth Baker, RPH
- Joshua C Ballard, FNP
- Brenda Barber
- Melane Childress Barber, LCAS
- Barium Springs Freedom Academy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.