Drostan Gregg Baker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60250792 Issued in WA

Practice address

2207 N Molter Rd Ste 203
Liberty Lake, WA 99019

Phone

(509) 565-8803

Fax

(509) 842-3057

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

No

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.

• DGB PLLC

  • Family Medicine Physician
  • Liberty Lake, WA
  • NPI 1669140836

  Family Medicine

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 31, 2022 through Mar 31, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2019.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1467689166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-5085",
            "fax_number": "208-625-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD STE 203",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "99019",
            "telephone_number": "509-565-8803",
            "fax_number": "509-842-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "566 W Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838157766",
            "country_code": "US",
            "telephone_number": "208-625-5155",
            "fax_number": "208-625-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 N Lidgerwood St Ste 126",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081122",
            "country_code": "US",
            "telephone_number": "509-434-1990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 E Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181417",
            "country_code": "US",
            "telephone_number": "509-489-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DROSTAN",
        "middle_name": "GREGG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M13734",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60250792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENT",
            "identifier": "00",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan L. Ashley, MD
• Avanta Dental Liberty Lake
• Rose Lydia Ayars, LICSW
• Carrie Lynn Ayer, DMD
• Gloria Esmeralda Badillo, N.D.
• Caryn Baksis, LMHCA
• Barrett Family Chiropractic
• Laura Ella Baumgardner
• Pamela Christine Baumgartner, OROFACIAL MYOLOGIST
• Samuel Beck, MD

• All providers in Liberty Lake, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.