Kenneth John Baker (NPI# 1871556084, PAC ID# 9032123583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1871556084 |
| PAC ID by PECOS | 9032123583 |
| Professional Enrollment ID | I20190313001709 |
| Full Name | Kenneth John Baker |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Address |
114 Undercliff Ter Princeton WV 24740-2174 |
| Phone Number | 3044877936 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3678482221 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 114 Undercliff Ter, Princeton, WV 24740-2174 | 3044877936 | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Alexander Rowe | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| April A Christ | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 118 12th St, Princeton, WV 24740-2312 |
| Yoginder K Yadav | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Timothy Prescott | Physician Assistant | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Nancy A Lohuis | Family Medicine | Princeton Community Hospital Assn., Inc. | 118 12th St, Princeton, WV 24740-2312 |
| Melissa A Shrewsbury | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Razelle Reyes | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Mark C Lentner | Otolaryngology | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Gordon F Prescott | Internal Medicine | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Bethany Gravely | Clinical Social Worker | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| Street Address |
114 UNDERCLIFF TER |
| City | PRINCETON |
| State | WV |
| Zip | 24740-2174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PRINCETON + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.