Active NPI
Delores Faye Baker, MD
- Gynecology Physician
- Southfield, MI
National Provider Identifier
1225075930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4301038184
- Practice address
- University Women&Apos;S Care-Southfield
26400 W 12 Mile Rd Ste 140
Southfield, MI 48034 - Phone
- (248) 352-8200
- NPI assigned
- Jun 1, 2006
- Last updated
- May 26, 2010
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301038184 | MI | Primary |
Addresses
Primary practice location
University Women&Apos;S Care-Southfield
26400 W 12 Mile Rd Ste 140
Southfield, MI 48034
Mailing address
3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301038184 | MI | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Past | Accepting new patients | |
| Professional Medical Center PC | Past | Accepting new patients | |
| University Women's Care, Inc | 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.
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- NPI 1780623637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1225075930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 WOODWARD AVE",
"address_2": "SUITE 600",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY WOMEN'S CARE-SOUTHFIELD",
"address_2": "26400 W 12 MILE RD STE 140",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-352-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DELORES",
"middle_name": "FAYE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301038184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.