DR. EDMOND LOWE BAKER JR. (NPI# 1235304171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235304171 |
Entity Type | Individual |
Full Name | DR. EDMOND LOWE BAKER JR. |
Credential | MD |
Practice Address |
4220 N 20th Ave Phoenix AZ 85015-5124 |
Mailing Address |
2702 North 3rd Street Suite 4020 Phoenix AZ 85004-4608 |
Practice Telephone | 6028899401 |
Practice Fax Number | 6028899404 |
Mailing Telephone | 6023233344 |
Mailing Fax Number | 6023233496 |
Enumeration Date | 2008-04-22 |
Last Update Date | 2020-08-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
37240 | AZ | Allopathic & Osteopathic Physicians |
Y | 207V00000X | Obstetrics & Gynecology | 37240 | AZ | Allopathic & Osteopathic Physicians |
N | 207V00000X | Obstetrics & Gynecology | 81650 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | MASSACHUSETTS LICENSE | 238838 | 01 |
AZ | ARIZONA LICENSE | 37240 | 01 |
AZ | 467843 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
635 East Baseline Road, Phoenix, AZ 85042 | 6022437277 | 6022435019 |
3306 W Roosevelt St, Phoenix, AZ 850093404 | 6028899401 | 6028899404 |
9020 W Thomas Rd, Phoenix, AZ 850373234 | 6028899401 | 6028899404 |
Street Address |
4220 N 20TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85015-5124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518067131 | Stephen Kittridge | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5101 | 2006-09-24 |
1235757089 | Jordan Michael Friedman | Social Worker | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2020-07-08 |
1568095867 | Livia Migdalia Arevalo | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2020-02-15 |
1407499635 | Kevin Lowrey | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-10-21 |
1942764063 | Your Neighborhood Healthcare Center | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-01-23 |
1891268561 | Amanda Marie Phillips | Counselor | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2019-01-05 |
1558727255 | Andreia Lorraine Arnold | Nurse Practitioner | 4220 N 20th Ave, Phoenix, AZ 85015-5124 | 2016-01-11 |
1043630320 | The Potter's House Substance Abuse Center | Counselor | 4220 N 20th Ave, Suite 100, Phoenix, AZ 85015-5101 | 2014-04-24 |
1336566124 | Louise Egan | Counselor | 4220 N 20th Ave, 100, Phoenix, AZ 85015-5101 | 2014-03-18 |
1811323934 | Dorothy Ruth Granberry | Technician, Other | 4220 N 20th Ave, 100, Phoenix, AZ 85015-5101 | 2013-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
1659717924 | Kate E Maroney | Obstetrics & Gynecology | 1661 E Camelback Rd Ste 160, Phoenix, AZ 85016-3921 | 2013-05-14 |
1306281571 | Jeffrey Blake Higley | Obstetrics & Gynecology | 650 W Maryland Ave Ste 1, Phoenix, AZ 85013 | 2013-05-01 |
1033485511 | Sigrid Gardner Williams | Obstetrics & Gynecology | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2012-03-28 |
1316263585 | Allison Amber Snyder | Obstetrics & Gynecology | 3811 E Bell Rd Ste 312, Phoenix, AZ 85032-2160 | 2010-04-13 |
1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
1083841969 | Laura T Mercer | Obstetrics & Gynecology | 500 W Thomas Rd Ste 720730, Phoenix, AZ 85013-4224 | 2009-06-17 |
1770710097 | Adriana Lea Pritchard | Obstetrics & Gynecology | 1300 North 12th Street, Suite 407, Phoenix, AZ 85006 | 2009-06-12 |
1033392113 | Chijioke Nnenna Soribe | Obstetrics & Gynecology | 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 | 2007-12-11 |
1013190420 | Neil Trachtenberg, M.d.,p.c. | Obstetrics & Gynecology | 300 W Clarendon Ave Ste 145, Phoenix, AZ 85013-3449 | 2007-12-07 |
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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.