Individual provider Active NPI

Charles Edwin Baker Jr., MD

  • Family Medicine Physician
  • Linville, NC
National Provider Identifier
1356308134
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18600 Issued in NC
Practice address
436 Hospital Dr
Ste 230
Linville, NC 28646
Phone
(828) 737-7711
Fax
(828) 737-7713
NPI assigned
Apr 27, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18600 NC Primary

Addresses

Primary practice location

436 Hospital Dr
Ste 230
Linville, NC 28646

Mailing address

PO Box 130
Crossnore, NC 28616
Phone (828) 737-7711

Other identifiers 2

IdentifierTypeStateIssuer
12697OtherNCBCBS
8912697MedicaidNC

Other names 1

  • Charles E Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000412 NC Practitioner - Family PracticePractitioner - General Practice 0244214203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222

211 Milton Brown Heirs Rd
Boone, NC 28607-8708
Phone (828) 265-2159

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18600NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Watauga Eye Center, PA Past Accepting new patients
Charles E Baker MD PA Family Medicine PastSince Jan 1, 2004 Accepting new patients

Locations

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

545 Schultz Cir
Newland, NC 28657
Phone (828) 688-5065

Interoperability endpoints

  • Direct secure messaging: cbaker214004@direct.unc.nchie.net

Organizations & group practices 3

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 1

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1356308134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "CROSSNORE",
            "state": "NC",
            "postal_code": "28616",
            "telephone_number": "828-737-7711",
            "fax_number": "828-737-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "address_2": "STE 230",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7711",
            "fax_number": "828-737-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "18600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12697",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912697",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "BAKER",
            "middle_name": "E",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Linville, NC

Sources for this page

Verify at the official NPI Registry.