Kenneth John Baker, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101274657 Issued in VA

Practice address

16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664

Phone

(276) 628-4335

NPI assigned

Apr 10, 2006

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, WV, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Obstetrics/Gynecology

Education

Virginia Commonwealth University, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinch Valley Physicians Associates LLCGroup PAC ID 9133146111, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• Direct secure messaging: kenneth.baker.1@19847.direct.athenahealth.com

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.

• Clinch Valley Physicians Associates LLC

  dba Clinch Valley Physicians

  • Cardiovascular Disease Physician
  • Richlands, VA
  • NPI 1104265214

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Davis Memorial Hospital

  dba Davis Medical Center

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Carolinas Complete Care for Women

  • Obstetrics & Gynecology Physician
  • Monroe, NC
  • NPI 1639300056
  NPD Authorized official
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567
  NPD
• Clinch Valley Physicians Associates LLC

  dba Clinch Valley Physicians

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1821339540
  NPD
• Davis Memorial Hospital

  dba Health Center Pharmacy

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1700663226
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Blossom Care for Women PA

  • Obstetrics & Gynecology Physician
  • Lancaster, SC
  • NPI 1205851094
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clinch Valley Medical Center Inc.

  dba Clinch Valley Medical Center

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1871556084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 200",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-628-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Undercliff Ter",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402174",
            "country_code": "US",
            "telephone_number": "304-425-0025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Facility Dr",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287219438",
            "country_code": "US",
            "telephone_number": "828-452-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 309",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 N Main St Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243544473",
            "country_code": "US",
            "telephone_number": "276-378-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "28597",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "28822",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "39390",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101274657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC34823365",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "28822",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N39390",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "39390",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbaker295255@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16000 Johnston Memorial Dr Ste 200",
            "city": "Abingdon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242117664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sylvia Yuhanna Attito, MD
• Avery Partners, Inc (Avery Home Health)
• Tariku Damte Ayalew, M.D.
• Jerod William Bachman, DO
• Rishika Bajaj, MD
• William John Baker, MD
• Kathleen P Baldwin, LCSW
• Franklin R Ball, LPN
• Shaunda Lynn Ball, COTA/L
• Steven M Bandy, MD

• Obstetrics & Gynecology Physician in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.