Individual provider Active NPI

Kimberly Ann Baker-Dobos, D.O.

  • Obstetrics & Gynecology Physician
  • Ishpeming, MI
National Provider Identifier
1457585671
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101018256 Issued in MI
Practice address
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone
(906) 486-4431
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101018256 MI Primary

Addresses

Primary practice location

901 Lakeshore Dr
Ishpeming, MI 49849-1367

Mailing address

512 Harrison St
Marquette, MI 49855-3320
Phone (517) 775-3161

Other names 1

  • Kimberly Ann Baker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130827000791 MI Practitioner - Obstetrics/Gynecology 2264675917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians

Practice addresses (Care Compare)

3409 Ludington St
Suite 204
Escanaba, MI 49829-4213
Phone (906) 736-1356

Hospital & facility affiliations

  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018256MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Physician Practices Inc Obstetrics & Gynecology CurrentSince Dec 1, 2013 Accepting new patients
St. Francis Hospital Obstetrics & Gynecology Current Accepting new patients
Bell Physician Practices Inc CurrentSince Dec 1, 2013 Accepting new patients
St Francis Hospital CurrentSince Sep 1, 2024 Accepting new patients
St. Francis Hospital CurrentSince Sep 1, 2024 Accepting new patients
St Francis Hospital Past Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 204
Escanaba, MI 49829
Phone (906) 736-1356

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1457585671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 HARRISON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553320",
            "telephone_number": "517-775-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-486-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-DOBOS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101018256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BAKER",
            "middle_name": "ANN",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ishpeming, MI

Sources for this page

Verify at the official NPI Registry.