Shawna Baker, MD
Individual provider Active NPI Family Medicine Physician · Dickinson, ND
NPI 1679524896 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1679524896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14756 (ND)
- Practice address
- 2500 Fairway St
Dickinson, ND 58601-2639 - Phone
- (701) 456-4000
- Fax
- (701) 456-4800
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph'S Hospital and Health Center
Omaha Therapy Inc
Practice addresses (Care Compare)
2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000
683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400
95 NW 2ND St
Beach, ND 58621
Phone (701) 872-3777
Hospital & facility affiliations
- CHI St Alexius Health Dickinson
- CHI St Alexius Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912000040 | ND | Practitioner - Family Practice | 6901091438 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14756 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Hospital and Health Center | Current |
Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current |
Accepting new patients | |
| Community Hospital of Anaconda | Family Medicine | Current | Accepting new patients |
| Coal Country Community Health Center | Past | Accepting new patients | |
| St Josephs Hospital and Health Center | Past | Accepting new patients |
Locations
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8002 | MT | |
| Family Medicine Physician | 207Q00000X | 14756 | ND | Yes |
Addresses
Primary practice location
2500 Fairway St
Dickinson, ND 58601-2639
Mailing address
2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1471958 | Medicaid | ND |
Other providers in Dickinson, ND
- Badlands Eye Clinic, PLLC
- Badlands Human Service Center
- Bon Badrawi
- Robert W. Baer
- Ellen Hilda Baird
- Jacquelynn Marie Barman
- Amanda M Barnard
- Krista R Barnes
- Kathryn A Barrett
- Faith Barth
All providers in Dickinson, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.