Active NPI
Robert Menzie McKim, M.D.
- Family Medicine Physician
- Baker City, OR
National Provider Identifier
1376577940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD06674
- Practice address
- 3175 Pocahontas Rd
Baker City, OR 97814-1434 - Phone
- (541) 523-4415
- Fax
- (541) 523-2399
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD06674 | OR | Primary |
Addresses
Primary practice location
3175 Pocahontas Rd
Baker City, OR 97814-1434
Mailing address
3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (541) 523-4415
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 |
|---|---|---|---|
| 6674 | OR | MD | General Practice Dentistry |
| MD06674 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Clinic, LLP | Current | Accepting new patients |
Locations
3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200
Interoperability endpoints
- https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376577940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141434",
"telephone_number": "541-523-4415",
"fax_number": "541-523-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141434",
"telephone_number": "541-523-4415",
"fax_number": "541-523-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIM",
"first_name": "ROBERT",
"middle_name": "MENZIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD06674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.