Active NPI
Ivette H Baker, MD
- Pediatrics Physician
- Sterling, MI
National Provider Identifier
1952375875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301085011
- Practice address
- 725 E State St
Sterling, MI 48659-9548 - Phone
- (989) 654-2491
- Fax
- (989) 654-2491
- NPI assigned
- Feb 15, 2006
- Last updated
- Mar 15, 2016
- 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 | 4301085011 | MI | Primary |
Addresses
Primary practice location
725 E State St
Sterling, MI 48659-9548
Mailing address
725 E State St
Sterling, MI 48659-9548
Phone (989) 654-2491
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4735460 | Medicaid | MI | |
| 3506510601 | Other | MI | BLUE CROSS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085011 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1952375875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E STATE ST",
"city": "STERLING",
"state": "MI",
"postal_code": "486599548",
"telephone_number": "989-654-2491",
"fax_number": "989-654-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E STATE ST",
"city": "STERLING",
"state": "MI",
"postal_code": "486599548",
"telephone_number": "989-654-2491",
"fax_number": "989-654-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "IVETTE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301085011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4735460",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3506510601",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.