DR. MATHUE MICHAEL BAKER (NPI# 1093936429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093936429 |
Entity Type | Individual |
Full Name | DR. MATHUE MICHAEL BAKER |
Credential | M.D. |
Practice Address |
1600 S 48th St Suite 600 Lincoln NE 68506-1275 |
Mailing Address |
Po Box 6607 Lincoln NE 68506-0607 |
Practice Telephone | 4024833333 |
Practice Fax Number | 4024833297 |
Mailing Telephone | 4024833333 |
Mailing Fax Number | 4024833297 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-04-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 23935 | NE | Allopathic & Osteopathic Physicians |
N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
23935 | NE | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
23935 | NE | Allopathic & Osteopathic Physicians |
Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
23935 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | MEDICAL LICENSE | 23935 | 01 |
NE | 47084496100 | 05 | |
IA | 1093936429 | 05 |
Street Address |
1600 S 48TH ST SUITE 600 |
City | LINCOLN |
State | NE |
Zip Code | 68506-1275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578536488 | Matthew Eugene Johnson | Internal Medicine | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1275 | 2006-02-10 |
1851909618 | Nikki Owen | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2020-07-17 |
1497391866 | Logan Sudbeck | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-11-20 |
1942844238 | Michaela R Geiser | Health Educator | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-10-30 |
1740831106 | Bryan Medical Center | Dietitian, Registered | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-09-26 |
1922660489 | Kayla Lee Campbell | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-07-05 |
1174183644 | Brittany M Wacker | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-06-17 |
1114584745 | Angela Marie Krafka | Registered Nurse | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-05-20 |
1467019992 | Clarissia Marie Hoeft | Registered Nurse | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-05-20 |
1972075489 | Vanessa M Vesely | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2018-12-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
Find all providers in zip 68506 |
Taxonomy Code | 207RA0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Advanced Heart Failure and Transplant Cardiology |
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487092086 | Scott William Lundgren | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2013-06-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.