Active NPI
Alan R. Baker, M.D.
- Surgery Physician
- Annandale, VA
National Provider Identifier
1285607846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101-051805
- Practice address
- 3301 Woodburn Rd
209
Annandale, VA 22003-1229 - Phone
- (703) 560-3007
- Fax
- (703) 560-3008
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101-051805 | VA | Primary |
Addresses
Primary practice location
3301 Woodburn Rd
209
Annandale, VA 22003-1229
Mailing address
619 Aster Blvd
Rockville, MD 20850-2035
Phone (301) 340-3025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73-0893-1 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101-051805 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291507200000",
"number": "1285607846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 ASTER BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502035",
"telephone_number": "301-340-3025",
"fax_number": "703-560-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN RD",
"address_2": "209",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031229",
"telephone_number": "703-560-3007",
"fax_number": "703-560-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ALAN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2010-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101-051805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73-0893-1",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.