Individual provider Active NPI

Barry O Baker II, PA-C

  • Medical Physician Assistant
  • Rising Sun, MD
National Provider Identifier
1497716690
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002344 Issued in 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
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002344 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100430000736 MD Practitioner - Physician Assistant 8729116330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph K. Weidner Jr MD LLCGroup PAC ID 9537294426, 4 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002344MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph K. Weidner Jr MD LLC CurrentSince Mar 16, 2002 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

  • Direct secure messaging: barrybaker@srfm.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1497716690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLONIAL WAY",
            "address_2": "SUITE A",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112283",
            "telephone_number": "410-658-6696",
            "fax_number": "410-658-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLONIAL WAY",
            "address_2": "SUITE A",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112283",
            "telephone_number": "410-658-6696",
            "fax_number": "410-658-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BARRY",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

Verify at the official NPI Registry.