Brian L Baker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

356 Issued in WV

Practice address

146 Williams Dr
Spencer, WV 25276-1826

Phone

(304) 927-1495

Fax

(304) 927-5813

NPI assigned

Jun 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Roane County Family Health Care, Inc.

  • Family Medicine Physician
  • Spencer, WV
  • NPI 1861494528

  WV

  Medicare reassignment

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1528060571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-1495",
            "fax_number": "304-927-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WILLIAMS DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761826",
            "telephone_number": "304-927-1495",
            "fax_number": "304-927-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000867",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Marie Ashby
• Joseph Atkinson
• Michelle Atkinson
• Jamie Lee Back
• Kimberly Annie Backus-McCloy, M.S.
• Raetta Baker, CFNP
• Sierra Ball
• Kasondra Bandy, PHARMD
• Betty A Barr, PA-C
• Barsh Enterprises

• All providers in Spencer, WV
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.

Verify at the official NPI Registry.