Active NPI
Bird & Thornton PA
- Neurology Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- BIRD & THORNTON PA
- Practice address
- 557 N Wymore Rd Ste 202
Maitland, FL 32751-4200 - Phone
- (407) 794-8000
- Fax
- (877) 409-1295
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Marie Baker, MD
- Title
- Owner
- Phone
- (407) 855-1073
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
557 N Wymore Rd Ste 202
Maitland, FL 32751-4200
Mailing address
PO Box 940973
Maitland, FL 32794-0973
Phone (407) 855-1073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100916001205 | FL | Part B Supplier - Clinic/Group Practice | 2466577267 |
Receives reassigned benefits from 5 practitioners Practice locations: Maitland, FL |
National Provider Directory
National Provider DirectoryLocations
557 N Wymore Rd
Ste 202
Maitland, FL 32751
Phone (407) 646-7466
501 E King St
Orlando, FL 32803
Phone (407) 303-1558
3802 Oakwater Cir
Ste 1
Orlando, FL 32806
Phone (407) 855-1073
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Maitland, FL
- NPI 1558378885
FL, Neurology With Special Qualifications in Child Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1457567711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940973",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327940973",
"telephone_number": "407-855-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WYMORE RD STE 202",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514200",
"telephone_number": "407-794-8000",
"fax_number": "877-409-1295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRD & THORNTON PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-855-1073",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.