Organization Active NPI

Baker Family Medical Clinic

  • Family Medicine Physician
  • Baker, FL
National Provider Identifier
1750582276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99999 Issued in FL
Legal business name
BAKER FAMILY MEDICAL CLINIC
Practice address
1321 Georgia Ave
Baker, FL 32531-2605
Phone
(850) 537-2700
Fax
(850) 537-2702
NPI assigned
May 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Francisca M Ward, MDNPI 1609078468
Title
Owner
Phone
(850) 537-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99999 FL Primary

Addresses

Primary practice location

1321 Georgia Ave
Baker, FL 32531-2605

Mailing address

1321 Georgia Ave
Baker, FL 32531-2605
Phone (850) 537-2700

Other identifiers 1

IdentifierTypeStateIssuer
26297OtherFLBCBS

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1523/brand/1/csg/23/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750582276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GEORGIA AVE",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325312605",
            "telephone_number": "850-537-2700",
            "fax_number": "850-537-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GEORGIA AVE",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325312605",
            "telephone_number": "850-537-2700",
            "fax_number": "850-537-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-537-2700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.