Active NPI
Larry J Baker, D.O.
- Emergency Medicine Physician
- Des Moines, IA
National Provider Identifier
1568533792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1721
- Practice address
- 1200 Pleasant St
S-128
Des Moines, IA 50309 - Phone
- (515) 241-6076
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1721 | IA | Primary |
Addresses
Primary practice location
1200 Pleasant St
S-128
Des Moines, IA 50309
Mailing address
13909 Oak Brook Dr
Urbandale, IA 50323-2134
Phone (515) 987-2574
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154781 | Medicaid | IA | |
| 930039470 | Other | IA | RAILROAD MEDICARE |
| 2154781 | Medicaid | IA |
Other names 1
- Laurence James Baker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1721 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- lbaker12146@direct.unitypoint.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1568533792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13909 OAK BROOK DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232134",
"telephone_number": "515-987-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"address_2": "S-128",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-241-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "LARRY",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "1721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154781",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930039470",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2154781",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURENCE",
"last_name": "BAKER",
"middle_name": "JAMES",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.