Barry O Baker II, PA-C
Individual provider Active NPI Medical Physician Assistant · Rising Sun, MD
NPI 1497716690 · NPPES record last updated Nov 16, 2007
Key facts
- NPI
- 1497716690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0002344 (MD)
- Practice address
- 101 Colonial Way
Suite a
Rising Sun, MD 21911-2283 - Phone
- (410) 658-6696
- Fax
- (410) 658-4548
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Joseph K. Weidner Jr MD LLC
Agape Physical Therapy and Sports Rehabilitation LP
Practice addresses (Care Compare)
101 Colonial Way
Suite a
Rising Sun, MD 21911-2272
Phone (410) 658-6696
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
Hospital & facility affiliations
- Amedisys Home Health
- Union Hospital of Cecil County
- Chester County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100430000736 | MD | Practitioner - Physician Assistant | 8729116330 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002344 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph K. Weidner Jr MD LLC | Current |
Accepting new patients | |
| Delmar Emergency Specialists PA | Past | Accepting new patients |
Locations
101 Colonial Way
Ste A
Rising Sun, MD 21911
Phone (410) 658-6696
Interoperability endpoints
- barrybaker@srfm.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0002344 | MD | Yes |
Addresses
Primary practice location
101 Colonial Way
Suite a
Rising Sun, MD 21911-2283
Mailing address
101 Colonial Way
Suite a
Rising Sun, MD 21911-2283
Phone (410) 658-6696
Other providers in Rising Sun, MD
- Ati Holdings LLC
- Ati Holdings, LLC
- Ati Holdings, LLC
- Axis Health at Calvert Opco LLC
- Allison Nicole Backert
- Thomas Ballenger
- Jacklyn Barbon
- Kristen Berkowich
- Stacie Jo Bower
- Bramble Behavioral Health
All providers in Rising Sun, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.