Individual provider Active NPI

Dole P Baker, MD

  • Otolaryngology Physician
  • Anderson, SC
National Provider Identifier
1396797833
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
18104 Issued in SC
Practice address
1206 Cornelia Rd
Anderson, SC 29621-3349
Phone
(864) 226-2822
Fax
(864) 226-2882
NPI assigned
May 16, 2006
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 18104 SC Primary

Addresses

Primary practice location

1206 Cornelia Rd
Anderson, SC 29621-3349

Mailing address

PO Box 139
Anderson, SC 29622-0139
Phone (864) 226-2822

Other identifiers 1

IdentifierTypeStateIssuer
T19227MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110712000376 SC Practitioner - Otolaryngology 3779590252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson ENT PAGroup PAC ID 2062429541, 2 clinicians

Practice addresses (Care Compare)

1206 Cornelia Rd
Anderson, SC 29621-3349
Phone (864) 226-2822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18104SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson ENT, PA Otolaryngology CurrentSince Jan 17, 1997 Accepting new patients
Anderson Eye & Ear Associates, P.a. Otolaryngology Past Accepting new patients

Locations

1206 Cornelia Rd
Anderson, SC 29621
Phone (864) 224-5349

703 N Fant St
Anderson, SC 29621
Phone (864) 225-5059

Interoperability endpoints

  • Direct secure messaging: dbaker8322@direct.anmedhealth.net

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1396797833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296220139",
            "telephone_number": "864-226-2822",
            "fax_number": "864-226-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213349",
            "telephone_number": "864-226-2822",
            "fax_number": "864-226-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DOLE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "18104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T19227",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.