ELEAZAR BAKER (NPI# 1245328962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245328962 |
| Entity Type | Individual |
| Full Name | ELEAZAR BAKER |
| Credential | SA |
| Practice Address |
8737 Dunwoody Place Suite 4 Atlanta GA 30350 |
| Mailing Address |
Po Box 422444 Atlanta GA 30291 |
| Practice Telephone | 7706508112 |
| Practice Fax Number | 7706508505 |
| Mailing Telephone | 6785662780 |
| Mailing Fax Number | 6785662785 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2707 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8737 DUNWOODY PLACE SUITE 4 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871669481 | Valerie Tarrant | Orthopaedic Surgery | 8737 Dunwoody Place, Suite 4, Atlanta, GA 30350 | 2006-11-27 |
| 1891883179 | Kevin P Felty | Physician Assistant | 8737 Dunwoody Place, Suite 4, Atlanta, GA 30350 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912356775 | Jason Weddington | Physician Assistant | 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 | 2016-06-11 |
| 1578937181 | Vds Surgical Assistants, Inc. | Physician Assistant | 1307 W Garmon Rd, Atlanta, GA 30327-4405 | 2015-11-19 |
| 1407220379 | Simpson Surgery Group, LLC | Physician Assistant | 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 | 2015-11-16 |
| 1417388232 | Tracey Lorena Tello | Physician Assistant | 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 | 2013-12-04 |
| 1336587401 | Marissa B Highnote | Physician Assistant | 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 | 2013-06-11 |
| 1396013223 | Signature Surgical Assistants | Physician Assistant | 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 | 2011-12-07 |
| 1720364318 | Leah Strickland | Physician Assistant | 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 | 2011-10-26 |
| 1669798872 | Tiffiany Mccune | Physician Assistant | 4979 Lower Elm St, Atlanta, GA 30349-1677 | 2010-04-13 |
| 1306177233 | Hong Feng Shi | Physician Assistant | 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 | 2010-01-15 |
| 1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
| Find all providers in ATLANTA | ||||
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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.