Individual provider Active NPI

Matthew Bryan Baker, M.D.

  • Plastic Surgery Physician
  • Mount Pleasant, SC
National Provider Identifier
1275540692
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD87844 Issued in SC
Practice address
1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406
Phone
(843) 971-2860
Fax
(303) 278-4841
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 43027 CO
Plastic Surgery Physician 208200000X MD87844 SC Primary

Addresses

Primary practice location

1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406

Mailing address

1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406
Phone (843) 971-2860

Other identifiers 2

IdentifierTypeStateIssuer
803906OtherCOMEDICARE GROUP PIN
83381872MedicaidCO

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

LicenseStateTypeSpecialty
43027COMDObstetrics & Gynecology Physician
MD87844SCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Segal MD LLC CurrentSince May 28, 2023 Accepting new patients
Lowcountry Plastic Surgery Center LLC Plastic Surgery CurrentSince May 28, 2023 Accepting new patients
Plastic Surgery of Athens, P.C. Plastic Surgery Past Accepting new patients
Center for Cosmetic Surgery PC Plastic Surgery PastSince Jan 1, 2023 Accepting new patients

Locations

1205 Two Island Ct
Unit 203
Mt Pleasant, SC 29466
Phone (843) 971-2860

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1275540692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT.",
            "address_2": "#203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860",
            "fax_number": "303-278-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TWO ISLAND CT.",
            "address_2": "#203",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667406",
            "telephone_number": "843-971-2860",
            "fax_number": "303-278-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MATTHEW",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "43027",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "MD87844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "803906",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83381872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.