MR. DEREK LADON BAKER


Address: 61 Whitcher St Ne Ste 3110, Marietta, GA 30060
Phone: 7704222326

MR. DEREK LADON BAKER (NPI# 1427300193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427300193
Entity Type Individual
Full Name MR. DEREK LADON BAKER
Credential PA-C
Practice Address 61 Whitcher St Ne Ste 3110
Marietta
GA 30060
Mailing Address 805 Sandy Plains Road
Medical Staff Services
Marietta
GA 30066-6340
Practice Telephone 7704222326
Enumeration Date 2012-10-05
Last Update Date 2019-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
006567 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
25751 Mcbean Pkwy, Suite 305, Valencia, CA 913553701 6613679195 6613679198

Other Providers DEREK BAKER

NPI Name Taxonomy Address Enumeration
1508326448 Derek Baker Student in an Organized Health Care Education/Training Program 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2019-03-25
1508337197 Derek Baker Nurse Anesthetist, Certified Registered 15855 19 Mile Rd, Clinton Township, MI 48038-3504 2018-12-08
1306340302 Derek Baker Counselor 110 Boston St, Salem, MA 01970-1402 2018-03-23
1801301163 Derek Gerard Baker Counselor 201 Cedar St, Oneida, NY 13421 2017-12-08
1376993790 Derek Baker Developmental Therapist 1408 Nw 6th St, Gainesville, FL 32601-4020 2016-06-16

Office Location

Street Address 61 WHITCHER ST NE STE 3110
City MARIETTA
State GA
Zip Code 30060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770715559 Phillip V Parry Sr. Neurological Surgery 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 2009-08-13
1760035307 Adam Wesley Bomar Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2019-07-23
1598249211 Sarah Turner Blackstock Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-09-18
1013490069 Erin Alexandra Oweida Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-09-14
1760981104 Ryan Paul Johnson Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2018-02-12
1205355427 Amanda Y Pellerito Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2017-09-19
1700242773 Erika Leigh Rademacher Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2016-01-06
1265813851 Katrina Joyce Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2015-06-09
1598150195 Kirby Bandoquillo Nurse Practitioner 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2015-03-31
1932411238 Amber Aubert Torres Physician Assistant 61 Whitcher St Ne Ste 3110, Marietta, GA 30060-1179 2010-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164969192 Henry Payton Physician Assistant 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 2017-01-29
1588087944 William Dalton Physician Assistant 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 2014-01-21
1205277043 Carmeceia Lavonde Dowdell Physician Assistant 626 Pecan Knoll Dr, Marietta, GA 30008-3102 2013-07-09
1275895963 La Tosha Eugena Walker Physician Assistant 409 Bloombridge Way Nw, Marietta, GA 30066-3486 2012-06-09
1306008032 Marlys Joel Physician Assistant 4084 Audubon Dr, Marietta, GA 30068-2605 2008-06-25
1659531945 Michelle Yvonne Larue Physician Assistant 4653 Pond Ln, Marietta, GA 30062-5618 2008-06-11
1467640649 Wendy Kae Jetton Physician Assistant 915 Randall Ct Nw, Marietta, GA 30064-4724 2007-10-12
1154446433 Rhonda Kay Thompson Herring Physician Assistant 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 2007-03-19
1508918475 Aneeta Anderson Physician Assistant 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 2007-01-18
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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