ROBERT ALAN BAKER (NPI# 1124063391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124063391 |
| Entity Type | Individual |
| Full Name | ROBERT ALAN BAKER |
| Credential | MD |
| Practice Address |
11701-32 San Jose Blvd Suite 216 Jacksonville FL 32223 |
| Mailing Address |
11701 32 San Jose Blvd Suite 216 Jacksonville FL 32223-0756 |
| Practice Telephone | 9048805888 |
| Practice Fax Number | 9048800011 |
| Mailing Telephone | 9048805888 |
| Mailing Fax Number | 9048800011 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME0030503 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTH EAST | 172926 | 01 |
| FL | 013893300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225427 | Robert Wayne Baker | Nurse Practitioner | 1236 E Harvard St, Glendale, CA 91205-1412 | 2019-09-23 |
| 1770043648 | Robert Alan Baker | Marriage & Family Therapist | 27782 Vista Del Lago Ste C-28, Mission Viejo, CA 92692-1175 | 2019-03-25 |
| 1417432691 | Robert Baker | Counselor | 5950 Fairview Rd Ste 770, Charlotte, NC 28210-3142 | 2018-10-03 |
| 1437574621 | Robert R Baker | Counselor | 466 Bluestem Ave, Gahanna, OH 43230-4600 | 2014-02-24 |
| 1063783884 | Robert James Baker Jr. | Hearing Instrument Specialist | 1744 Nc Highway 5, Suite A, Aberdeen, NC 28315-8650 | 2012-01-25 |
| 1043543630 | Robert Love Baker | Neurological Surgery | 521fairview Road, Pittsburgh, PA 15238-1701 | 2009-09-14 |
| 1780813774 | Robert Louis Baker Jr. | Speech-Language Pathologist | 12921 Misty Willow, Houston, TX 77070-5287 | 2009-07-10 |
| 1538312202 | Robert Steven Baker | Ophthalmology | 220 Lexington Green Circle, Suite 120, Lexington, KY 40503-3333 | 2008-10-28 |
| 1629264189 | Robert Lee Baker | Durable Medical Equipment & Medical Supplies | 211 W Kansas Ave, Garden City, KS 67846-5362 | 2007-09-19 |
| 1699818674 | Robert Steven Baker | Pharmacist | 580 S Marion St, Lake City, FL 32055 | 2007-02-15 |
| Street Address |
11701-32 SAN JOSE BLVD SUITE 216 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952854721 | Brent Thomas Marshall | Physician Assistant | 11701-32 San Jose Blvd, Suite 103, Jacksonville, FL 32223-0756 | 2016-07-28 |
| 1386082667 | Etleva Nasi | Family Medicine | 11701-32 San Jose Blvd, #103, Jacksonville, FL 32223 | 2013-06-10 |
| 1306999735 | Ghulam Quadir Khan | Obstetrics & Gynecology | 11701-32 San Jose Blvd, Suite 114, Jacksonville, FL 32223 | 2007-01-19 |
| 1932274982 | Brian Edsel Floro | Dentist | 11701-32 San Jose Blvd, Suite 215, Jacksonville, FL 32223 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902291784 | Brandon Tyler Beal | Dermatology | 6817 Southpoint Pkwy Ste 101, Jacksonville, FL 32216-6285 | 2015-03-30 |
| 1194079988 | Intracoastal Dermatology, Pllc | Dermatology | 4776 Hodges Blvd Ste 105, Jacksonville, FL 32224-7218 | 2012-11-01 |
| 1780861781 | Jacksonville Skin Cancer Center, P.a. | Dermatology | 4465 Baymeadows Rd Ste 5, Jacksonville, FL 32217-4727 | 2008-01-22 |
| 1720272644 | John Morello | Dermatology | 13111 Atlantic Blvd., Ste 4, Jacksonville, FL 32225 | 2007-09-04 |
| 1982740775 | Michael Edward Lutz | Dermatology | 4465 Baymeadows Rd, Suite 5, Jacksonville, FL 32217 | 2007-01-29 |
| 1386757540 | Joy R Boyne | Dermatology | 6869 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2006-08-15 |
| 1770521163 | James W Trimble | Dermatology | 6890 Belfort Oaks Pl, Jacksonville, FL 32216-6241 | 2006-06-04 |
| 1497709778 | Daniel J Abraham | Dermatology | 215b Station St, Jacksonville, NC 28546-6304 | 2006-05-20 |
| 1124076492 | Michael A. Gromet | Dermatology | 10036 Scott Mill Rd, Jacksonville, FL 32257-5885 | 2006-05-05 |
| 1023089182 | John Paul Kartsonis | Dermatology | 11512 Lake Mead Ave Unit 401, Jacksonville, FL 32256-9687 | 2006-01-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on ROBERT ALAN BAKER.
| 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.