MR. MATTHEW G BAKER (NPI# 1356349914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356349914 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW G BAKER |
| Credential | PA-C |
| Practice Address |
101 E Wt Harris Blvd Suite 5202 Charlotte NC 28262-3485 |
| Practice Telephone | 7045471495 |
| Practice Fax Number | 7045471861 |
| Mailing Telephone | 7045471495 |
| Mailing Fax Number | 7045471861 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-03915 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE PROV # | P00108973 | 01 |
| IL | HEALTH ALLIANCE PROV # | 092552 | 01 |
| NC | 1356349914 | 05 | |
| IL | HEALTHLINK PROV # | 713460 | 01 |
| IL | JOHN DEERE PROV # | IL0111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392452 | Matthew Robert Baker | Student in an Organized Health Care Education/Training Program | 1526 Village Grove Ct, Hillsborough, NC 27278-6928 | 2020-10-07 |
| 1184079063 | Matthew Baker | Social Worker | 25 Tranquility Trl, Lancaster, NY 14086-1527 | 2016-04-28 |
| 1073917290 | Matthew Baker | Pharmacy Technician | 610 Clematis St Apt 838, West Palm Beach, FL 33401-5329 | 2014-10-17 |
| 1619396223 | Matthew Baker | Pharmacist | 40 Okatie Center Blvd S Ste 350, Okatie, SC 29909-7511 | 2014-04-10 |
| 1518252204 | Matthew Charles Baker | Internal Medicine | 900 Blake Wilbur Drive, 2nd Flr, Stanford, CA 94305-2200 | 2011-06-10 |
| 1699065854 | Matthew Joseph Baker | Massage Therapist | 593 Congress St, Portland, ME 04101-3309 | 2011-04-08 |
| 1467587675 | Matthew W. Baker | Optometrist | 3901 Franklin St, Michigan City, IN 46360-7314 | 2007-02-21 |
| 1174614960 | Matthew Clyde Baker | Dentist | 44285 Lowtree Ave, Lancaster, CA 93534-4170 | 2006-09-27 |
| 1518954916 | Matthew S. Baker | Pharmacist | 10021 S Western Ave, Oklahoma City, OK 73139-2927 | 2005-09-30 |
| 1700881950 | Matthew T Baker | Surgery | 1000 E 15 S, Ste 350, Payson, UT 84651 | 2005-06-15 |
| Street Address |
101 E WT HARRIS BLVD SUITE 5202 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962711 | Nancy Colette Montz | Specialist | 101 E Wt Harris Blvd, Suite 5002, Charlotte, NC 28262-3485 | 2005-06-15 |
| 1275099152 | Daina Worcester | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2019-02-15 |
| 1083197446 | Anna Caldwell | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-09-12 |
| 1609360239 | Tyesha Harvey | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2018-06-18 |
| 1366945990 | Erika Fink | Nurse Practitioner | 101 E Wt Harris Blvd, Ste 5002, Charlotte, NC 28262-3485 | 2018-03-09 |
| 1053813105 | Jacqueline Wichern | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-03-05 |
| 1215456546 | Paige Hayes | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2017-09-19 |
| 1194267815 | Jordan Brittle | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-11-11 |
| 1538610589 | Chadwick Smith | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-10-14 |
| 1932658697 | Jonathan Lowe | Nurse Practitioner | 101 E Wt Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262-3485 | 2016-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1417506791 | Lauren Moir | Physician Assistant | 2700 Coltsgate Rd Ste 106, Charlotte, NC 28211-3573 | 2019-09-09 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1285172981 | Melanie Reyer | Physician Assistant | 5005 Morrowick Rd, Charlotte, NC 28226-7366 | 2017-02-02 |
| 1255877627 | Taylor King | Physician Assistant | 730 Hawthorne Ln Apt 443, Charlotte, NC 28204-2182 | 2017-01-10 |
| 1831579242 | Lindsey Chaney Taylor | Physician Assistant | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1122 | 2015-06-02 |
| 1306232079 | Rebecca Lee Strunk-lail | Physician Assistant | 1211 N. Community House Rd, Charlotte, NC 28277 | 2015-04-09 |
| 1194117432 | Harlee Palmer | Physician Assistant | 10502 Park Rd Suite 100, Charlotte, NC 28210-8479 | 2015-02-24 |
| 1154669364 | Laura A Justen | Physician Assistant | 1025 Morehead Medical Dr Ste 225, Charlotte, NC 28204-2974 | 2013-01-23 |
| Find all providers in CHARLOTTE | ||||
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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.