NPIMap

Organization Active NPI

Keith R. Baker MD PC

  • Internal Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1235322017
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
KB041163 Issued in MI
Legal business name
KEITH R. BAKER MD PC
Practice address
168 S Howell St
Hillsdale, MI 49242-2040
Phone
(517) 437-4451
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Keith R Baker, M.D.NPI 1538271267
Title
Owner
Phone
(517) 437-4402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X KB041163 MI Primary

Addresses

Primary practice location

168 S Howell St
Hillsdale, MI 49242-2040

Mailing address

PO Box 187
Hillsdale, MI 49242-0187
Phone (517) 523-3695

Other identifiers 2

IdentifierTypeStateIssuer
4646860MedicaidMI
1103001371OtherMIBCBSM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1235322017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492420187",
            "telephone_number": "517-523-3695",
            "fax_number": "517-523-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492422040",
            "telephone_number": "517-437-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH R. BAKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-437-4402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "KB041163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4646860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1103001371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.