Individual provider Active NPI

Daniel Ryan Baker

  • Physician Assistant
  • Georgetown, KY
National Provider Identifier
1295327393
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1140 Lexington Rd Ste 100
Georgetown, KY 40324-9330
Phone
(502) 570-3767
NPI assigned
Feb 9, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1140 Lexington Rd Ste 100
Georgetown, KY 40324-9330

Mailing address

1140 Lexington Rd Ste 100
Georgetown, KY 40324-9330
Phone (502) 570-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408002423 KY Practitioner - Physician Assistant 8729496831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians
Bourbon Physician Practice LLCGroup PAC ID 8729226097, 11 clinicians

Practice addresses (Care Compare)

105 Prather Path
Georgetown, KY 40324-9206

1140 Lexington Rd
Georgetown, KY 40324-9330

1152 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-5603

1154 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-3303

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 340-1377

175 Hospital Dr
Suite 120
Georgetown, KY 40324
Phone (502) 570-2324

225 Hospital Dr
Suite 255
Winchester, KY 40391-7625
Phone (859) 737-9900

360 Amsden Ave
Versailles, KY 40383-1851

8 Linville Dr
Paris, KY 40361-2170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Physician Assistant CurrentSince Dec 21, 2025 Accepting new patients
Kentucky Mso, LLC Physician Assistant CurrentSince Mar 18, 2021 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Dec 21, 2025 Accepting new patients
Bourbon Physician Practice LLC Physician Assistant CurrentSince May 17, 2025 Accepting new patients
Kentucky Mso LLC CurrentSince Mar 18, 2021 Accepting new patients
Bourbon Physician Practice LLC CurrentSince May 17, 2025 Accepting new patients
Kentucky Mso LLC Physician Assistant Past Accepting new patients
Carlisle Clinic, PSC Past Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 100
Georgetown, KY 40324
Phone (502) 570-3767

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Ste 255
Winchester, KY 40391
Phone (859) 744-2623

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: daniel.baker.1@19475.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1295327393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD STE 100",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-570-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD STE 100",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-570-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DANIEL",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.