Active NPI
Kyle A Baer, PA-C
- Surgery Physician
- Muskogee, OK
National Provider Identifier
1437613890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3018
- Practice address
- 1011 Honor Heights Dr
Muskogee, OK 74401-1318 - Phone
- (918) 577-3000
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3018 | OK | Primary |
Addresses
Primary practice location
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Mailing address
1800 W Albany Dr Apt 2124
Broken Arrow, OK 74012-5855
Phone (812) 345-6551
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1437613890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W ALBANY DR APT 2124",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125855",
"telephone_number": "812-345-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HONOR HEIGHTS DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744011318",
"telephone_number": "918-577-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "KYLE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "3018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.