MR. MICHAEL RUSSELL BAKER (NPI# 1659346047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659346047 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL RUSSELL BAKER |
| Credential | PA |
| Practice Address |
11704 W Center Rd Ste 200 Omaha NE 68144-4375 |
| Practice Telephone | 4026910500 |
| Practice Fax Number | 4025056249 |
| Mailing Telephone | 4026910500 |
| Mailing Fax Number | 4025056249 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
196 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NE PA LICENSE NMBR | 196 | 01 |
| IA | IA BCBS PROVIDER NMBR | R80756 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1831683465 | Michael C Baker | Family Medicine | 8426 E Lincoln Dr, Scottsdale, AZ 85250-5728 | 2018-06-18 |
| 1053629170 | Michael Phillip Baker | Pharmacist | 772 Main St # 1570, Chapmanville, WV 25508-4533 | 2010-09-23 |
| 1508098708 | Michael Wayne Baker | Marriage & Family Therapist | 8921 W 21st St N Ste 101, Wichita, KS 67205-1994 | 2009-08-20 |
| 1942422811 | Michael D. Baker | Physical Therapist | 325 N. Maine, Lawrence, KS 66044 | 2007-05-02 |
| 1689724072 | Michael Von Baker | Naturopath | 15615 Bel Red Rd, Suite C, Bellevue, WA 98008-2300 | 2007-01-10 |
| 1093888075 | Michael A Baker | Chiropractor | 409 N Argonne Rd, Spokane Valley, WA 99212-2874 | 2006-11-16 |
| 1780764605 | Michael Von Baker | Specialist/Technologist | 18818 Asheville Hwy, Campobello, SC 29322 | 2006-10-16 |
| 1811092588 | Michael Alan Baker | Pharmacy Technician | 3757 Military Trail, Jupiter, FL 33458 | 2006-09-14 |
| 1215046404 | Michael W Baker | Physician Assistant | 101 Skaggs Road, Suite 402, Branson, MO 65616 | 2006-08-30 |
| Street Address |
11704 W CENTER RD STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173770 | Peter Monaco Cimino | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-16 |
| 1629515085 | Andrew Wakin | Nurse Practitioner | 11704 W Center Rd, Suite 103 A, Omaha, NE 68144-4375 | 2017-01-24 |
| 1922453984 | Claire E Hulett | Physical Therapy Assistant | 11704 W Center Rd, Suite #200, Omaha, NE 68144-4375 | 2016-04-27 |
| 1710038534 | Outpatient Surgical Specialties Center, LLC | Clinic/Center | 11704 W Center Rd, Suite 110, Omaha, NE 68144-4375 | 2007-01-16 |
| 1295816759 | Alegent Health Bergan Mercy Health Center | Clinic/Center | 11704 W Center Rd, Omaha, NE 68144-4375 | 2006-10-18 |
| 1447343405 | Thomas James Dobleman | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1699868596 | Ear Nose & Throat - Head and Neck Surgery P.C. | Otolaryngology | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-10-02 |
| 1831206978 | Kevin P Reagan | Internal Medicine | 11704 W Center Rd, Suite 210, Omaha, NE 68144-4375 | 2006-08-24 |
| 1093759920 | Mary G Stroesser | Occupational Therapist | 11704 W Center Rd, Suite 200, Omaha, NE 68144-4375 | 2006-06-14 |
| 1780625475 | James J Sevcik | Physical Therapist | 11704 W Center Rd, Ste. 100, Omaha, NE 68144-4375 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518031194 | Peter W Hunt | Physician Assistant | Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-11-17 |
| 1457354789 | Jennifer Chavez | Physician Assistant | 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 | 2005-05-31 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1336763879 | Makenzie Polacek | Physician Assistant | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2020-06-01 |
| 1508499054 | Samantha Schroeder | Physician Assistant | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2020-02-12 |
| 1487121034 | Kelli D Welch | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-10-31 |
| 1114405040 | Victoria M Alai | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2018-08-02 |
| 1891202131 | Kossi Mawouli Zotoglo | Physician Assistant | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2018-01-09 |
| 1710426549 | Jessica Cannon | Physician Assistant | 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 | 2017-02-13 |
| 1952649162 | Samantha J. Korth | Physician Assistant | 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 | 2013-01-22 |
| Find all providers in OMAHA | ||||
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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.