Individual provider Active NPI

John A Baker, DO

  • Family Medicine Physician
  • Roaring Spring, PA
National Provider Identifier
1386654697
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0SD12992 Issued in PA
Practice address
111 Nason Dr
Suite 104
Roaring Spring, PA 16673-1212
Phone
(814) 224-6096
Fax
(814) 224-6095
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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 0SD12992 PA Primary

Addresses

Primary practice location

111 Nason Dr
Suite 104
Roaring Spring, PA 16673-1212

Mailing address

111 Nason Dr
Suite 104
Roaring Spring, PA 16673-1212
Phone (814) 224-6096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061009000212 PA Practitioner - Family Practice 3870599228 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

1086 Franklin St
M7
Johnstown, PA 15905-4305
Phone (814) 534-9407

Hospital & facility affiliations

  • Conemaugh Nason Medical Center Hospital, Roaring Spring, PA, CCN 390062
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0SD12992PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Jun 5, 2018 Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
Nason Physician Practices LLC Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Family Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

111 Nason Dr
Ste 104
Roaring Spring, PA 16673
Phone (814) 224-6096

Interoperability endpoints

  • Direct secure messaging: jbaker35655@direct.conemaugh.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1386654697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NASON DR",
            "address_2": "SUITE 104",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731212",
            "telephone_number": "814-224-6096",
            "fax_number": "814-224-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NASON DR",
            "address_2": "SUITE 104",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731212",
            "telephone_number": "814-224-6096",
            "fax_number": "814-224-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0SD12992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

Verify at the official NPI Registry.