PETER SUNG JAE BAEK (NPI# 1124033097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124033097 |
| Entity Type | Individual |
| Full Name | PETER SUNG JAE BAEK |
| Credential | M D |
| Practice Address |
12222 N Central Expy Suite 400 Dallas TX 75243 |
| Mailing Address |
Po Box 840853 Dallas TX 75284-0853 |
| Practice Telephone | 2142193747 |
| Practice Fax Number | 2142193748 |
| Mailing Telephone | 9722331999 |
| Mailing Fax Number | 9722333666 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | M2546 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
M2546 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8S7545 | 01 |
| TX | 179289701 | 05 | |
| TX | 179289702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578022794 | Peter Baek | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2019-03-18 |
| 1821123761 | Peter S Baek | Dentist | 18981 Ventura Blvd, 200, Tarzana, CA 91356-3237 | 2007-02-22 |
| Street Address |
12222 N CENTRAL EXPY SUITE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270992 | Wade Neal Barker | Surgery | 12222 N Central Expy, Ste. 300, Dallas, TX 75243-3755 | 2006-05-11 |
| 1891168159 | Bbc Surgical Services Pa | Surgery | 12222 N Central Expy, Suite 300, Dallas, TX 75243-3755 | 2015-11-09 |
| 1023488707 | Barker Bariatric Center | Clinic/Center | 12222 N Central Expy, Suite 305, Dallas, TX 75243-3755 | 2015-10-06 |
| 1346646007 | Del Norte Surgical Services Pllc | Physician Assistant | 12222 N Central Expy, Ste 210, Dallas, TX 75243-3755 | 2014-11-07 |
| 1699170308 | Stratus Anesthesia Associates Fort Worth Pllc | Anesthesiology | 12222 N Central Expy, Suite 400, Dallas, TX 75243-3755 | 2014-10-24 |
| 1184028698 | Bbc Surgical Associates of San Antonio | Surgery | 12222 N Central Expy, Suite 300, Dallas, TX 75243-3755 | 2014-10-13 |
| 1558764431 | Bbc First Assists Pa | Specialist | 12222 N Central Expy, Suite 300, Dallas, TX 75243-3755 | 2014-10-06 |
| 1306247598 | Merceline Obuong | Nurse Practitioner | 12222 N Central Expy, Dallas, TX 75243-3755 | 2014-09-08 |
| 1871915512 | Texas Acute Pain Service, Pllc | Anesthesiology | 12222 N Central Expy, Suite 400, Dallas, TX 75243-3755 | 2014-01-15 |
| 1346676681 | Bbc Surgical Associates Pa | Surgery | 12222 N Central Expy, Suite 305, Dallas, TX 75243-3755 | 2013-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908826 | Woodhill Anesthesia Group Pllc | Anesthesiology | 8315 Walnut Hill Ln Ste 110, Dallas, TX 75231-4249 | 2020-09-24 |
| 1609409051 | Elite Anesthesia | Anesthesiology | 5510 Abrams Rd Ste 119b, Dallas, TX 75214-2099 | 2020-02-13 |
| 1043850282 | K2 Anesthesia Pllc | Anesthesiology | 4447 N Central Expy Ste 110264, Dallas, TX 75205-4245 | 2020-01-15 |
| 1518507318 | V1 Anesthesia Pllc | Anesthesiology | 4447 N Central Expy Ste 110-264, Dallas, TX 75205-4245 | 2020-01-09 |
| 1124662192 | Jonathon Michael Dean | Anesthesiology | 4832 Cape Coral Dr, Dallas, TX 75287-7229 | 2019-11-04 |
| 1316596919 | Dallas Anesthesia Group, Pllc | Anesthesiology | 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 | 2019-09-06 |
| 1053977694 | Nortex Anesthesia, Pllc | Anesthesiology | 17740 Preston Rd # 100a, Dallas, TX 75252-5840 | 2019-05-18 |
| 1457914970 | Dfw Anesthesia Professionals Pllc | Anesthesiology | 1910 Pacific Ave Ste 7062, Dallas, TX 75201-4954 | 2019-04-19 |
| 1053873323 | S&r Meridian Management Bc LLC | Anesthesiology | 5744 Lbj Fwy Ste 200, Dallas, TX 75240-6311 | 2019-04-04 |
| 1992272702 | Patent Anesthesia Pllc | Anesthesiology | 17950 Preston Rd Ste 75, Dallas, TX 75252-5634 | 2018-10-30 |
| Find all providers in DALLAS | ||||
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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.