Harold G Baker, MD

Key facts

NPI

1821057985

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

01032300A (IN)

Practice address

12524 Southeastern Avenue
Indianapolis, IN 46259

Phone

(317) 862-2277

Fax

(317) 862-9160

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Emergency Physicians of Indianapolis, PC Emergency Medicine Physician · Indianapolis, IN · NPI 1770538340
  NPD (past)
• Major Hospital General Acute Care Hospital · Shelbyville, IN · NPI 1174555692
  NPD (past)
• St. Francis Medical Group, LLC Internal Medicine Physician · Greenwood, IN · NPI 1467693135
  NPD (past) FAMILY MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2016.

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1821057985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12524 SOUTHEASTERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462591152",
            "telephone_number": "317-862-2277",
            "fax_number": "317-862-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12524 SOUTHEASTERN AVENUE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46259",
            "telephone_number": "317-862-2277",
            "fax_number": "317-862-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "HAROLD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032300A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

• Elgan Baker, PH.D.
• Elizabeth Anne Baker, CNM
• Elizabeth Nicole Baker
• Erik James Baker, O.D.
• Grant Baker, PHARMD
• Jacklynn Sue Baker, PT, CLT
• James Baker, PMHNP
• Jessica Baker
• Jessica J Baker, AGNP
• Joann Baker, PHARMD

All providers in Indianapolis, IN · Family Medicine Physician in Indiana