Organization Active NPI

Baker Ear Nose & Throat Associates PLC

  • Otolaryngology Physician
  • Bay City, MI
National Provider Identifier
1619069523
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301053017 Issued in MI
Legal business name
BAKER EAR NOSE & THROAT ASSOCIATES PLC
Practice address
4175 N Euclid
Suite 10
Bay City, MI 48706
Phone
(989) 684-4400
Fax
(989) 684-0560
NPI assigned
Sep 28, 2006
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Scott A Baker, MDNPI 1285625210
Title
Owner
Phone
(989) 684-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301053017 MI Primary

Addresses

Primary practice location

4175 N Euclid
Suite 10
Bay City, MI 48706

Mailing address

4175 N Euclid
Suite 10
Bay City, MI 48706
Phone (989) 684-4400

Other identifiers 5

IdentifierTypeStateIssuer
1285625210OtherMNINDIVIDUAL NPI NUMBER
3043790MedicaidMI
0400923042OtherMIHEALTHPLUS PROVIDER ID
1619069523OtherMIGROUP NPI NUMBER
0400910811OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000524 MI Part B Supplier - Clinic/Group Practice 2961403308 Receives reassigned benefits from 4 practitioners
Practice locations: Bad Axe, MI; Bay City, MI; Mt Pleasant, MI; Petoskey, MI

National Provider Directory

National Provider Directory

Locations

1011 S Van Dyke Rd
Ste D
Bad Axe, MI 48413
Phone (989) 684-4400

1460 W Center Rd
Essexville, MI 48732
Phone (989) 687-0440

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1619069523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID",
            "address_2": "SUITE 10",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-4400",
            "fax_number": "989-684-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID",
            "address_2": "SUITE 10",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-684-4400",
            "fax_number": "989-684-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER EAR NOSE & THROAT ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-684-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301053017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1285625210",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDER ID",
            "identifier": "0400923042",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1619069523",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0400910811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.