Individual provider Active NPI

Marcy Solomon Baker, M.D.

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1922001825
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME80888 Issued in FL
Practice address
1919 W Swann Ave
2ND Floor
Tampa, FL 33606-2404
Phone
(813) 254-7079
Fax
(813) 443-8164
NPI assigned
May 24, 2005
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME80888 FL Primary

Addresses

Primary practice location

1919 W Swann Ave
2ND Floor
Tampa, FL 33606-2404

Mailing address

PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002

Other identifiers 1

IdentifierTypeStateIssuer
258895100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221118002845 FL Practitioner - Pediatric Medicine 8325416530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Baycare Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Baycare Medical Group Pediatric Walk-in, LLC Pediatrics Past Accepting new patients
Baycare Medical Group Pediatric Walk-in Care LLC Pediatrics Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1919 W Swann Ave
Fl 2
Tampa, FL 33606
Phone (813) 254-7078

Interoperability endpoints

  • Direct secure messaging: marcys.baker@direct.mybaycare.org

Organizations & group practices 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1922001825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743409",
            "telephone_number": "727-532-0002",
            "fax_number": "727-532-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W SWANN AVE",
            "address_2": "2ND FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062404",
            "telephone_number": "813-254-7079",
            "fax_number": "813-443-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARCY",
        "middle_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME80888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258895100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.