Katie M Baker, M.M.S., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA053899 Issued in PA

Practice address

2601 Holme Ave
Philadelphia, PA 19152-2007

Phone

(215) 335-0735

NPI assigned

Aug 6, 2009

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katie M Tyrrell Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Upmc Altoona

  dba Altoona Emergency Physicians

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1497831655
  Medicare reassignment NPD
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD
• Doylestown Emergency Associates PC

  • Urgent Care Clinic/Center
  • Doylestown, PA
  • NPI 1316308703
  NPD (past)
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927
  NPD (past)
• Roosevelt Emergency Physicians

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1043263726
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1699906792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 DAVIS DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021138",
            "telephone_number": "215-266-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.M.S., PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053899",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "TYRRELL",
            "middle_name": "M",
            "credential": "M.M.S., PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julianne Baker, MD
• Katherine Baker, MD
• Kathleen Baker, MS
• Kathleen G Baker, CRNP
• Kathryn Michele Baker, M.ED, BCBA
• Kaylee Morgan Baker, CNP
• Kelsey A. Baker, OTR/L
• Linda A Baker, LPC
• Miles Baker III
• Nicole Julia Baker

• Medical Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.