NPIMap

Organization Active NPI

Mark C. Baylor, M.D.

  • Family Medicine Physician
  • Elmwood, IL
National Provider Identifier
1437337342
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036069541 Issued in IL
Legal business name
MARK C. BAYLOR, M.D.
Practice address
120 W Main St
Elmwood, IL 61529-9608
Phone
(309) 742-2921
Fax
(309) 742-8411
NPI assigned
Feb 1, 2008
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Mark C. Baylor, MDNPI 1740256700
Title
Owner/Operator
Phone
(309) 742-2921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036069541 IL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036069541 IL

Addresses

Primary practice location

120 W Main St
Elmwood, IL 61529-9608

Mailing address

120 W Main St
PO Box 680
Elmwood, IL 61529-9608
Phone (309) 742-2921

Other identifiers 3

IdentifierTypeStateIssuer
198663OtherILHEALTHLINK
CG6833OtherILRR MEDICARE
7200613OtherILBCBS OF ILLINOIS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1437337342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "address_2": "PO BOX 680",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299608",
            "telephone_number": "309-742-2921",
            "fax_number": "309-742-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299608",
            "telephone_number": "309-742-2921",
            "fax_number": "309-742-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. BAYLOR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "309-742-2921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036069541",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036069541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "198663",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CG6833",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "7200613",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.