Keith Andrew Baker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26315 Issued in CO

Practice address

559 Vincent St
21 Mdos/Sgof -Fam HLTH
Peterson AFB, CO 80914-1540

Phone

(719) 556-2273

Fax

(719) 556-1226

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1891797080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W. ENT AVE.",
            "address_2": "21 MDOS/SGOF -FAMILY PRACTICE",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-2273",
            "fax_number": "719-566-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "21 MDOS/SGOF -FAM HLTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-2273",
            "fax_number": "719-556-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KEITH",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "26315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01263151",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Agee, MD MPH
• Breanna Ashely Alderson, LCSW
• Bryan Thomas Alvarez, MD, MPH
• Debra Lynn Arabia, NP
• Raymond Alfred Bailey, PT
• Mark Ballesteros, PHARM.D.
• Marcus Beyerle, DMD
• Zachary Edward Bishop, PHARMD
• John Mark Bouchillon, M.D.
• Monique Boyle

• Family Medicine Physician in Peterson AFB, CO
• Providers in Peterson AFB, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.