Gordon Baker MD Inc PS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD00008587 Issued in WA

Legal business name

GORDON BAKER MD INC PS

Practice address

14203 Ambaum Blvd SW
Burien, WA 98166-1421

Phone

(206) 243-9004

Fax

(206) 433-1038

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gordon P Baker, MD

Title

Doctor

Phone

(206) 243-9004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1790017606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14203 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "206-243-9004",
            "fax_number": "206-433-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14203 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661421",
            "telephone_number": "206-243-9004",
            "fax_number": "206-433-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON BAKER MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "206-243-9004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MD00008587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043504",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joya Goodhue-Hilbert
• Vanessa Goodley
• Jonathan Goodman, MA
• Katherine Goodwin, PA-C
• Anna Gorbachuk, DC
• Kellee Louise Gore
• Patrick Douglas Gorrell, DC
• Daniel W Gottlieb, MD PS
• Rebecca A Grady, MA.
• Stacie Grace Grage, LPN

• Preferred Provider Organization in Burien, WA
• Providers in Burien, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.