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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230847 | Medicaid | OR | |
| 227616 | Medicaid | OR |
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 |
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Baker City, OR
- NPI 1992734743
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230847",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227616",
"state": "OR"
}
],
"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.