Active NPI
Denise Wynne Baker, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1942272679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD043473L
- Practice address
- 5753 Wayne Ave
Philadelphia, PA 19144 - Phone
- (215) 848-8800
- Fax
- (215) 848-6036
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD043473L | PA | Primary |
Addresses
Primary practice location
5753 Wayne Ave
Philadelphia, PA 19144
Mailing address
101 E Olney Ave
#505
Philadelphia, PA 19120
Phone (215) 254-2630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00144549300006 | Medicaid | PA |
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
Interoperability endpoints
- denise.wynne-baker@direct.einstein.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1942272679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "#505",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-254-2630",
"fax_number": "215-254-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5753 WAYNE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "215-848-8800",
"fax_number": "215-848-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNNE BAKER",
"first_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD043473L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00144549300006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.