Active NPI
Deborah Baird, PA-C
- Physician Assistant
- Wilkes Barre, PA
National Provider Identifier
1477527356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001867L
- Practice address
- 675 Baltimore Dr
Wilkes Barre, PA 18702-7900 - Phone
- (570) 808-5780
- Fax
- (570) 808-5753
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001867L | PA | Primary |
Addresses
Primary practice location
675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Mailing address
100 N Academy Ave
Credentials Dept
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbaird76823@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001867L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
675 Baltimore Dr
Wilkes Barre, PA 18702
Phone (570) 808-5757
500 Scott St
Wilkes Barre, PA 18702
Phone (570) 704-0300
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- dbaird76823@direct.geisinger.edu
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Clarks Summit, PA
- NPI 1952719619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1477527356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"address_2": "CREDENTIALS DEPT",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 BALTIMORE DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027900",
"telephone_number": "570-808-5780",
"fax_number": "570-808-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001867L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbaird76823@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "675 Baltimore Dr",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187027900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.