Organization Active NPI

Baker Medical Group

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1972707875
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2A08 Issued in MO
Legal business name
BAKER MEDICAL GROUP
Practice address
8969 Watson Rd
Saint Louis, MO 63119-5115
Phone
(314) 918-9111
Fax
(314) 918-9113
NPI assigned
Jun 13, 2007
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Carl Ned Baker, M.D.
Title
Physician
Phone
(314) 918-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R2A08 MO 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

Other identifiers 1

IdentifierTypeStateIssuer
000014808MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1972707875",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "NED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-918-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2A08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014808",
            "state": "MO"
        }
    ],
    "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 Apr 17, 2008; 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.