NPIMap

Individual provider Active NPI

Mark A Baker, DO

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1871536151
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E6221 Issued in TX
Practice address
6957 W Plano Pkwy Ste 1100
Plano, TX 75093-1621
Phone
(972) 395-7533
Fax
(972) 395-7536
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E6221 TX Primary

Addresses

Primary practice location

6957 W Plano Pkwy Ste 1100
Plano, TX 75093-1621

Mailing address

6957 W Plano Pkwy Ste 1100
Plano, TX 75093-1621
Phone (972) 395-7533

Other identifiers 5

IdentifierTypeStateIssuer
129139508MedicaidTX
129139510MedicaidTX
129139515MedicaidTX
204693003MedicaidTX
129139511MedicaidTX

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E6221TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Radiology PA Diagnostic Radiology Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
North Texas Radiology PLLC Diagnostic Radiology Past Accepting new patients
Glen Rose Medical Foundation Inc. Past Accepting new patients
Nanette V Evans M.D., P.a. Diagnostic Radiology Past Accepting new patients
Glen Rose Medical Foundation Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1871536151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY STE 1100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931621",
            "telephone_number": "972-395-7533",
            "fax_number": "972-395-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY STE 1100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931621",
            "telephone_number": "972-395-7533",
            "fax_number": "972-395-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E6221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129139508",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129139510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129139515",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204693003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129139511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.