BRENT T BAKER (NPI# 1609836774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609836774 |
| Entity Type | Individual |
| Full Name | BRENT T BAKER |
| Credential | M.D. |
| Practice Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707815111 |
| Practice Fax Number | 2707800498 |
| Mailing Telephone | 2707815111 |
| Mailing Fax Number | 2707800498 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 200101005 | NC | Other Service Providers |
| Y | 208000000X | Pediatrics | 42780 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | TP646 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100076010 | 05 | |
| NC | 8985166 | 05 | |
| KY | ANTHEM | 000000618536 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312806 | Brent L Baker | Dentist | 2854 W 4700 S, Suite C, West Valley City, UT 84118-2102 | 2007-06-07 |
| 1003270968 | Brent Baker | Family Medicine | 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 | 2016-04-07 |
| 1356759187 | Brent Tyler Baker | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2014-07-24 |
| 1770774648 | Brent Wyatt Baker | Physician Assistant | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2007-08-06 |
| 1841400660 | Brent J.h. Baker | Radiology | 888 S King St, Honolulu, HI 96813-3009 | 2007-05-23 |
| Street Address |
201 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1760096200 | Ryan Michael Beard | Physical Therapist | 201 Park St, Bowling Green, KY 42101-1708 | 2020-09-02 |
| 1881204162 | Kristian Patricia Lee | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-08-03 |
| 1184232548 | Amy Pendleton Brown | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-07-21 |
| 1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
| 1598304040 | Rachel Paige Houchen | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2020-01-02 |
| 1245875996 | Christie Finney | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2019-11-16 |
| 1164077988 | Jeremy Darnell | Physical Therapy Assistant | 201 Park St, Bowling Green, KY 42101-1742 | 2019-08-08 |
| 1790246130 | Jamie Powers | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013216936 | University Pediatric Endocrinology, LLC | Pediatrics | 720 2nd St, Ste 102, Bowling Green, KY 42101-1778 | 2011-03-17 |
| 1528392347 | Casey Laine Miles | Pediatrics | 1701 Ashley Cir Ste 200, Bowling Green, KY 42104 | 2009-09-25 |
| 1275695108 | Lori D. Witcher | Pediatrics | 615 Seventh Ave, Bowling Green, KY 42101 | 2006-12-15 |
| 1760543797 | John Christopher Smith | Pediatrics | 1211 Ashley Cir, Bowling Green, KY 42104-3383 | 2006-12-13 |
| 1609942804 | Mk & Ss Ahmed Mds Inc | Pediatrics | 960 W Wooster Ste, Ste 216, Bowling Green, OH 43402 | 2006-11-28 |
| 1255426268 | Zahid G Fraser | Pediatrics | 1211 Ashley Circle, Pediatric Associates, Bowling Green, KY 42104 | 2006-10-04 |
| 1669485793 | George Adams Watson | Pediatrics | 1228 Ashley Cir, Bowling Green, KY 42104-5803 | 2006-08-13 |
| 1053332676 | Syeda S. Ahmed | Pediatrics | 960 W. Wooster Street, Suite 216, Bowling Green, OH 43402-2650 | 2006-07-21 |
| 1801884689 | Michael Lemon | Pediatrics | 970 W Wooster, Suite 130, Bowling Green, OH 43402 | 2005-10-06 |
| 1205834918 | John Eric Voakes | Pediatrics | 615 7th Ave, Bowling Green, KY 42101-6921 | 2005-07-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.