Organization Active NPI

Rola P Baker MD PC

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1750444972
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16652 Issued in OR
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

Updated by the provider on Jan 29, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
011119MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpbakermd@hotmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.