Mary-Theresa Leventhal Baker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0039907 Issued in MD

Practice address

625 Silver Ave SW
2ND Floor
Albuquerque, NM 87102-3123

Phone

(505) 272-6849

NPI assigned

Jan 6, 2009

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mesa Leventhal Baker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1508002981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SILVER AVE SW",
            "address_2": "2ND FLOOR",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023123",
            "telephone_number": "505-272-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SILVER AVE SW",
            "address_2": "2ND FLOOR",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023123",
            "telephone_number": "505-272-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY-THERESA",
        "middle_name": "LEVENTHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0039907",
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "NM",
            "license": "MD2013-0585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MESA",
            "last_name": "BAKER",
            "middle_name": "LEVENTHAL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith Baker
• Kayla Baker
• Kevin Baker
• Linda Susan Baker, APN-BC
• Marcus Baker, DDS
• Max Baker, MD
• Meara Anne Baker, SLP
• Ruby Baker
• Tanya Baker, LCSW
• Terrence Baker

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.