Organization Active NPI

Sek Otolaryngology

  • Otolaryngic Allergy Physician
  • Pittsburg, KS
National Provider Identifier
1306934633
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
04-24544 Issued in KS
Legal business name
SEK OTOLARYNGOLOGY
Practice address
107 N Pine
Pittsburg, KS 66762
Phone
(620) 232-7500
Fax
(620) 231-7501
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Michael P Baker, MDNPI 1891883120
Title
President
Phone
(620) 232-7500

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
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 04-24544 KS Primary

Addresses

Primary practice location

107 N Pine
Pittsburg, KS 66762

Mailing address

107 N Pine
Pittsburg, KS 66762
Phone (620) 232-7500

Other identifiers 2

IdentifierTypeStateIssuer
110440OtherKSBCBS
100371500AMedicaidKS

Other names 1

  • THE BAKER CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329001377 KS Part B Supplier - Clinic/Group Practice 5496701732 Receives reassigned benefits from 2 practitioners
Practice locations: Chanute, KS; Fort Scott, KS; Girard, KS; Iola, KS; Pittsburg, KS

National Provider Directory

National Provider Directory

Locations

107 N Pine St
#3
Pittsburg, KS 66762
Phone (620) 231-6001

100 N Pine St
Ste 3
Pittsburg, KS 66762

107 N Pine St
Pittsburg, KS 66762
Phone (620) 232-7500

Practitioners & affiliated clinicians

Practitioners 4

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1306934633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N PINE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-7500",
            "fax_number": "620-232-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N PINE",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-7500",
            "fax_number": "620-231-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEK OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-232-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "KS",
            "license": "04-24544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110440",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100371500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BAKER CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE BAKER CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.