Active NPI
Rola P Baker MD PC
- Family Medicine Physician
- Roseburg, OR
National Provider Identifier
1750444972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD16652
- Legal business name
- ROLA P BAKER MD PC
- Practice address
- 2282 NW Troost St
Suite 102
Roseburg, OR 97470-6071 - Phone
- (541) 440-9128
- Fax
- (541) 440-9130
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rola P. Baker, MD
- Title
- President
- Phone
- (541) 440-9128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD16652 | OR | Primary |
Addresses
Primary practice location
2282 NW Troost St
Suite 102
Roseburg, OR 97470-6071
Mailing address
2282 NW Troost St
Suite 102
Roseburg, OR 97470-6071
Phone (541) 440-9128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011119 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpbakermd@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2282 NW Troost St
Ste 102
Roseburg, OR 97471
Phone (541) 440-9128
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Roseburg, OR
- NPI 1447474945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1750444972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2282 NW TROOST ST",
"address_2": "SUITE 102",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974706071",
"telephone_number": "541-440-9128",
"fax_number": "541-440-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2282 NW TROOST ST",
"address_2": "SUITE 102",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974706071",
"telephone_number": "541-440-9128",
"fax_number": "541-440-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLA P BAKER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "ROLA",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-440-9128",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "MD16652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011119",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpbakermd@hotmail.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2282 NW Troost St",
"address_2": "Suite 102",
"city": "Roseburg",
"state": "OR",
"country_code": "US",
"postal_code": "974706071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.