Individual provider Active NPI

Michael Baker, MD

  • Emergency Medicine Physician
  • Wetumpka, AL
National Provider Identifier
1891741484
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8528 Issued in AL
Practice address
500 Hospital Dr
Wetumpka, AL 36092-1625
Phone
(334) 567-4311
NPI assigned
May 25, 2006
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8528 AL Primary

Addresses

Primary practice location

500 Hospital Dr
Wetumpka, AL 36092-1625

Mailing address

6000 Otter Point Rd
Pensacola, FL 32504-7954
Phone (205) 835-7998

Other identifiers 2

IdentifierTypeStateIssuer
51528416OtherALBLUE CROSS
009998835MedicaidAL

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 Medicine

State licenses

LicenseStateTypeSpecialty
8528ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Rains Emergency Physicians Emergency Medicine Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
Correct Care, Inc. Emergency Medicine Past Accepting new patients
NWMC Winfield Physician Practices LLC Past Accepting new patients
University of Alabama at Birmingham Emergency Medicine Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
NWMC-Winfield Physician Practices, LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1891741484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 OTTER POINT RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047954",
            "telephone_number": "205-835-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921625",
            "telephone_number": "334-567-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "8528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51528416",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009998835",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.