Organization Active NPI

Baker Medical Group, LLC.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1942646294
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAKER MEDICAL GROUP, LLC.
Practice address
8969 Watson Rd
Saint Louis, MO 63119-5115
Phone
(314) 918-9111
Fax
(314) 918-9113
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Mrs. Viola Sholla
Title
Office Manager
Phone
(314) 918-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8969 Watson Rd
Saint Louis, MO 63119-5115

Mailing address

8969 Watson Rd
Saint Louis, MO 63119-5115
Phone (314) 918-9111

National Provider Directory

National Provider Directory

Locations

8969 Watson Rd
Webster Grvs, MO 63119
Phone (314) 843-1111

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1942646294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8969 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195115",
            "telephone_number": "314-918-9111",
            "fax_number": "314-918-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8969 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195115",
            "telephone_number": "314-918-9111",
            "fax_number": "314-918-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER MEDICAL GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "SHOLLA",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-918-9111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.