Richard Lee Baker, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DPM543 Issued in TN

Practice address

2850 Ocoee St N
Bradley Family Foot Care Ste 1
Cleveland, TN 37312-5385

Phone

(423) 559-1555

Fax

(423) 559-2455

NPI assigned

Dec 5, 2005

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1578547238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MOUNT ZION RD NW",
            "city": "GEORGETOWN",
            "state": "TN",
            "postal_code": "373364547",
            "telephone_number": "423-473-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 OCOEE ST N",
            "address_2": "BRADLEY FAMILY FOOT CARE STE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125385",
            "telephone_number": "423-559-1555",
            "fax_number": "423-559-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Bacon Jr., DDS
• Samantha Renea Bacon
• Donnie F Baggett Jr.
• Sarah Elizabeth Baiera
• Bailey Grace Baker, APN
• Kaitlin Anne Ball, DPT
• Lori Huskins Balmer, OD
• Casey Taiona Banner
• Banyan Family Night Clinic, LLC
• Adam Gregory Barfoot, M.ED.

• Podiatrist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.