Active NPI
Shawna Baker, MD
- Family Medicine Physician
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14756
- Practice address
- 2500 Fairway St
Dickinson, ND 58601-2639 - Phone
- (701) 456-4000
- Fax
- (701) 456-4800
- NPI assigned
- May 12, 2006
- Last updated
- May 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8002 | MT | |
| Family Medicine Physician | 207Q00000X | 14756 | ND | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1471958 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14756 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Anaconda | Family Medicine | 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 | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Past | Accepting new patients | |
| Coal Country Community Health Center | Past | Accepting new patients |
Locations
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
dba CHI St Alexius Health Dickinson
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
-
dba CHI St. Alexius Health Beach Family Clinic
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
dba pintler family practice
- Family Medicine Physician
- Anaconda, MT
- NPI 1336244797
-
- Federally Qualified Health Center (FQHC)
- Beulah, ND
- NPI 1942288329
-
- Rural Acute Care Hospital
- Dickinson, ND
- NPI 1508896861
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
-
dba CHI St Alexius Health Dickinson
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1679524896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FAIRWAY ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012639",
"telephone_number": "701-456-4000",
"fax_number": "701-456-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FAIRWAY ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012639",
"telephone_number": "701-456-4000",
"fax_number": "701-456-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SHAWNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "8002",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "14756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1471958",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.