MARY BAKER (NPI# 1073670832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073670832 |
| Entity Type | Individual |
| Full Name | MARY BAKER |
| Credential | MD |
| Practice Address |
4212 Ne Broadway St Portland OR 97213-1460 |
| Practice Telephone | 5032498787 |
| Mailing Telephone | 5032498787 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD13583 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 28972-8 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952799785 | Mary Baker | Technician | 2195 Hunter Ct, Columbus, GA 31907-3780 | 2015-01-01 |
| 1124425558 | Mary Baker | Marriage & Family Therapist | 21311 Hawthorne Blvd Ste 330, Torrance, CA 90503-5689 | 2014-12-01 |
| 1669897963 | Mary Lelia Baker | Nurse Practitioner | Csusm School of Nursing, Student Healthcare Project 333 S. Twin Oaks Valley Road, San Marcos, CA 92096-0001 | 2014-02-23 |
| 1720326937 | Mary Catherine Baker | Social Worker | 2409 Rabbit Walk Ln, Apex, NC 27523-6208 | 2013-01-22 |
| 1750691044 | Mary Baker | Occupational Therapist | 350 Route 423, Saratoga Springs, NY 12866-7336 | 2010-10-20 |
| 1881905461 | Mary Langley Baker | Pharmacist | 104 East Second Stt, Kenly, NC 27542 | 2010-06-29 |
| 1609045368 | Mary Ellen Baker | Physical Therapist | 93 County Route 19, Livingston, NY 12541-0036 | 2008-02-27 |
| 1295852309 | Mary Patricia Baker | Speech-Language Pathologist | 129 Adams Ln, Richmond, KY 40475-8765 | 2007-03-23 |
| 1841320843 | Mary E. Baker | Optometrist | 1135 116th Ave Ne Ste 120, Bellevue, WA 98004-4626 | 2007-03-07 |
| 1225182884 | Mary Baker | Registered Nurse | 843 E Lake Forest Ave, Milwaukee, WI 53217-5377 | 2007-01-22 |
| Street Address |
4212 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082316 | Broadway Medical Clinic LLP | Clinic/Center | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2005-06-10 |
| 1841427572 | Michael Mazzotta | Internal Medicine | 4212 Ne Broadway St, Medical Staff Svcs, Portland, OR 97213-1422 | 2009-06-21 |
| 1487896403 | Emily Wasser Puterbaugh | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2009-04-06 |
| 1629275508 | Melissa Ann Hahn | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2007-07-02 |
| 1306964911 | Patricia Sandstrom Burke | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2007-03-26 |
| 1164563185 | Susan Frances Calvert | Pharmacist | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2007-02-11 |
| 1902961907 | Charles M Wood | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1422 | 2006-12-27 |
| 1407916513 | Anne M Hirsch | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-12-11 |
| 1568539195 | Douglas E Renouard | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-11-29 |
| 1013084573 | Luis A Valls | Internal Medicine | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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 |
|---|---|---|---|---|
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| 1801162789 | Gabriel Larson | Pediatrics | 700 S.w. Campus Drive, 7th Floor, Portland, OR 97239 | 2012-03-26 |
| 1376833616 | Ashley Holsen | Pediatrics | 10000 Se Main St Ste 30, Portland, OR 97216-2461 | 2011-04-07 |
| 1477852259 | Kelsey Linde Richardson | Pediatrics | 3181 Sw Sam Jackson Hall Rd, Portland, OR 97239 | 2011-03-20 |
| 1093038986 | Seth M Williams | Pediatrics | 2801 N. Gantenbein Legacy Emanuel Medical Center, Randall Children's Hospital, Portland, OR 97227 | 2010-03-05 |
| 1669600904 | Erica Empey Benthin | Pediatrics | 205 Nw 16th Ave Apt 7, Portland, OR 97209-2648 | 2009-06-25 |
| 1871720136 | Corey Adair Fish | Pediatrics | 6924 Ne Sandy Blvd, Portland, OR 97213-5256 | 2009-06-14 |
| Find all providers in PORTLAND | ||||
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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.