Individual provider Active NPI

Eric J. Baker, M.D., P.A.

  • Dermatology Physician
  • Greenville, SC
National Provider Identifier
1760576383
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14818 Issued in SC
Practice address
26 Roper Corners Circle
Greenville, SC 29615-4833
Phone
(864) 234-7744
Fax
(864) 284-0420
NPI assigned
Oct 3, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14818 SC Primary

Addresses

Primary practice location

26 Roper Corners Circle
Greenville, SC 29615-4833

Mailing address

26 Roper Corners Circle
Greenville, SC 29615-4833
Phone (864) 234-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000409 SC Practitioner - Dermatology 4183818743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
14818SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of SC PC Dermatology CurrentSince Nov 19, 2021 Accepting new patients

Locations

26 Roper Corners Cir
Greenville, SC 29615
Phone (864) 234-7744

1650 Skylyn Dr
Ste 402
Spartanburg, SC 29307
Phone (864) 574-0017

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1760576383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ROPER CORNERS CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7744",
            "fax_number": "864-284-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROPER CORNERS CIRCLE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154833",
            "telephone_number": "864-234-7744",
            "fax_number": "864-284-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ERIC",
        "middle_name": "J.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "14818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.