Baker Bariatrics, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BAKER BARIATRICS, LLC

Practice address

500 Osborne Rd NE Ste 125
Fridley, MN 55432-2767

Phone

(763) 236-2180

Fax

(763) 420-0500

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey D Baker, M.D.

Title

Ceo

Phone

(763) 236-2180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1306065826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 125",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322767",
            "telephone_number": "763-236-2180",
            "fax_number": "763-420-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 125",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322767",
            "telephone_number": "763-236-2180",
            "fax_number": "763-420-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER BARIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-236-2180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aswan Xaashi Axmed
• Blessing Nonye Azonwu, DNP, NP
• Rachel Backlund, LPCC
• Clarice Bailey, MA, LADC, LPCC
• Kevin Brent Bailey, MD
• Mikayla Grace Baker Thorn, LPCC, LADC
• Daniel R Baker, MD
• Jeffrey D Baker, MD
• Chad Baldner
• Barbara Anne Bank, M.D.

• Surgery Physician in Fridley, MN
• Providers in Fridley, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.