Individual provider Active NPI

Ronald Baird, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • West Jordan, UT
National Provider Identifier
1760677520
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
322409-1204 Issued in UT
Practice address
7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007
Phone
(801) 233-8670
NPI assigned
Sep 13, 2007
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 963224091204 UT
Addiction Medicine (Family Medicine) Physician 207QA0401X 322409-1204 UT Primary

Addresses

Primary practice location

7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007

Mailing address

7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007
Phone (801) 233-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322409-1204UTMDAddiction Medicine (Family Medicine) Physician
963224091204UTMDPreferred Provider Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Vgentle Current Accepting new patients
Clinical Consultants Limited Liability Company Past Accepting new patients
Utah Valley Emergency Physicians Inc PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 3

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1760677520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD BLDG E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD BLDG E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "RONALD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2021-11-03",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "963224091204",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "322409-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.