Active NPI
Elizabeth Hunt Baker, PA C
- Physician Assistant
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101428
- Practice address
- 303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709 - Phone
- (386) 425-2285
- Fax
- (386) 425-7522
- NPI assigned
- Mar 9, 2006
- Last updated
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101428 | FL | Primary |
Addresses
Primary practice location
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Mailing address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 425-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S95424054 | Other | FL | TRICARE |
Other names 1
- Elizabeth Ann Hunt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101428 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Ridgewood Emergency Group, LLC | Physician Assistant | Current | Accepting new patients |
| Advance Technological Radiology, PA | Past | Accepting new patients |
Locations
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
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.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
Physician Assistant
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1801864681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709",
"telephone_number": "386-425-0141",
"fax_number": "386-226-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709",
"telephone_number": "386-425-2285",
"fax_number": "386-425-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ELIZABETH",
"middle_name": "HUNT",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "S95424054",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "HUNT",
"middle_name": "ANN",
"credential": "PA C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.