Michael L Baker DO, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02002933A Issued in IN

Legal business name

MICHAEL L BAKER DO, LLC

Practice address

1401 Memorial Ave
Suite B
Washington, IN 47501-3153

Phone

(812) 254-2400

Fax

(812) 254-3191

NPI assigned

Aug 19, 2011

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael L Baker, D.O.

Title

Single Member/Owner

Phone

(812) 254-2400

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1396025581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013153",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013153",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L BAKER DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
        "authorized_official_telephone_number": "812-254-2400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02002933A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000383679",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201042640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie McAtee, PTA
• Daniel Fendrich McCarthy III, MD
• Brandi McCord, MSW
• Misty Ronelle McKibben
• Paul F McLeod, MD
• Theresa R Miller, PTA
• Hailey Mincey
• Jonah Minnich, HAD
• Moov, LLC (moov)
• George J Morgan, M.D.

• Obstetrics & Gynecology Physician in Washington, IN
• Providers in Washington, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.