Active NPI
James W Baker MD LLC
- Allergy & Immunology Physician
- Portland, OR
National Provider Identifier
1225207178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD08914
- Legal business name
- JAMES W BAKER MD LLC
- Practice address
- 9495 SW Locust St Ste a
Portland, OR 97223-6683 - Phone
- (503) 636-9011
- Fax
- (503) 636-3952
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy M Madden
- Title
- Administrator
- Phone
- (503) 505-5937
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD08914 | OR | |
| Allergy & Immunology Physician | 207K00000X | MD08914 | OR | Primary |
| Allergy Physician | 207KA0200X | MD08914 | OR | |
| Dermatology Physician | 207N00000X | MD08916 | OR |
Addresses
Primary practice location
9495 SW Locust St Ste a
Portland, OR 97223-6683
Mailing address
9495 SW Locust St Ste a
Portland, OR 97223-6683
Phone (503) 636-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3975 Mercantile Dr
#158
Lake Oswego, OR 97035
Phone (503) 636-9011
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Tualatin, OR
- NPI 1326364753
-
- Allergy & Immunology Physician
- Portland, OR
- NPI 1609093871
-
- Physician Assistant
- Woodburn, OR
- NPI 1194228551
-
- Medical Physician Assistant
- Portland, OR
- NPI 1275803462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1225207178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 SW LOCUST ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236683",
"telephone_number": "503-636-9011",
"fax_number": "503-636-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9495 SW LOCUST ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972236683",
"telephone_number": "503-636-9011",
"fax_number": "503-636-3952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES W BAKER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "MADDEN",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "503-505-5937"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "MD08914",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "MD08914",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "OR",
"license": "MD08914",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "OR",
"license": "MD08916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.