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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
25751 Mcbean Pkwy, Suite 305, Valencia, CA 913553701 | 6613679195 | 6613679198 |
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 |
Street Address |
61 WHITCHER ST NE STE 3110 |
City | MARIETTA |
State | GA |
Zip Code | 30060 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30060 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
Find all providers in MARIETTA |
Please comment or provide details below to improve the information on MR. DEREK LADON 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.