Active NPI
Jon M Baker, MD
- Surgery Physician
- Warsaw, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 163390
- Practice address
- 400 N Main St
Warsaw, NY 14569-1025 - Phone
- (585) 786-8940
- NPI assigned
- Nov 16, 2005
- Last updated
- Jun 8, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 163390 | NY | Primary |
Addresses
Primary practice location
400 N Main St
Warsaw, NY 14569-1025
Mailing address
PO Box 4860
Murrells Inlet, SC 29576-2698
Phone (843) 651-2624
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02120836 | Medicaid | NY | |
| 1711149 | Other | NY | IH |
| 000526291003 | Other | NY | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Saint Louis University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7785 N State St
Suite 130
Lowville, NY 13367-1229
Phone (315) 376-5163
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 85 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 26 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County | Current | Accepting new patients | |
| Lewis County General Hospital | Surgery | Current | Accepting new patients |
| Lewis County | Past | Accepting new patients |
Locations
7785 N State St
Lowville, NY 13367
Phone (315) 376-5102
7785 N State St
#130
Lowville, NY 13367
Phone (315) 376-5163
7785 N State St
#13282
Lowville, NY 13367
Phone (315) 376-5200
7785 N State St
Ste 130
Lowville, NY 13367
Phone (315) 376-5163
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.
-
- Surgery Physician
- Lowville, NY
- NPI 1659433217
-
- Public Health or Welfare Agency
- Lowville, NY
- NPI 1114659778
-
dba Lewis County General Hospital
- Rural Acute Care Hospital
- Lowville, NY
- NPI 1487689402
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewis County General Hospital
- Rural Acute Care Hospital
- Lowville, NY
- NPI 1487689402
-
- Critical Access Hospital
- Lowville, NY
- NPI 1619390838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1881676732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4860",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295762698",
"telephone_number": "843-651-2624",
"fax_number": "843-491-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "163390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02120836",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IH",
"identifier": "1711149",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000526291003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.