DR. JACK ROSS BAKER (NPI# 1982712899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982712899 |
| Entity Type | Individual |
| Full Name | DR. JACK ROSS BAKER |
| Credential | DO |
| Practice Address |
4590 Dressler Road Nw Canton OH 44718-2546 |
| Practice Telephone | 3304925555 |
| Practice Fax Number | 3304927808 |
| Mailing Telephone | 3304925555 |
| Mailing Fax Number | 3304927808 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 34003239B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0672884 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992850275 | Jack W Baker IIi | Psychologist | 1730 Hidden Hollow Ln Nw, Cedar Rapids, IA 52405-1545 | 2007-01-24 |
| 1982696530 | Jack Lee Baker | Specialist | 10912 East Fwy, Houston, TX 77029 | 2005-08-19 |
| 1073155453 | Jack David Baker | Psychologist | 2825 Burnet Ave, Cincinnati, OH 45219-2426 | 2019-10-17 |
| 1699752493 | Jack R Baker | Radiology | 210 25th Avenue North, Nashville, TN 37203 | 2005-12-22 |
| Street Address |
4590 DRESSLER ROAD NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820576 | Advanced Urology Institute of Georgia PC | Urology | 2205 Riverstone Blvd Ste 101, Canton, GA 30114-5250 | 2020-04-23 |
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1447592902 | Wesley Warren Ludwig | Urology | 145 Riverstone Ter Ste 101, Canton, GA 30114-5327 | 2013-03-22 |
| 1538277710 | Carl C Capelouto | Urology | 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8029 | 2006-08-28 |
| 1144220807 | Steven E. Ochs | Urology | 1330 Mercy Dr. Nw, Suite 510, Canton, OH 44708 | 2005-07-26 |
| 1063410611 | Anthony Patrick Bertin | Urology | 4976 Tuscarawas St W, Canton, OH 44708-5057 | 2005-07-08 |
| 1063995264 | Katherine Anna Nixon | Urology | 2600 Tuscarawas St W Ste 400, Canton, OH 44708-4698 | 2018-09-13 |
| 1891227302 | Georgia Urology Pa | Urology | 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8015 | 2017-04-03 |
| 1992147193 | Georgia Urology Pa | Urology | 320 Hospital Rd, Med Assoc of No Ga, Canton, GA 30114-2432 | 2013-07-29 |
| 1164795795 | Aultman Medical Group, Inc | Urology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2012-02-13 |
| Find all providers in CANTON | ||||
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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.