DEREK BAKER (NPI# 1508337197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508337197 |
| Entity Type | Individual |
| Full Name | DEREK BAKER |
| Practice Address |
15855 19 Mile Rd Clinton Township MI 48038-3504 |
| Mailing Address |
5767 Shannon Ln Clarkston MI 48348-5168 |
| Practice Telephone | 5862632715 |
| Mailing Telephone | 2485358644 |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2018-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704293006 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1427300193 | Derek Ladon Baker | Physician Assistant | 61 Whitcher St Ne Ste 3110, Marietta, GA 30060 | 2012-10-05 |
| Street Address |
15855 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378301 | Steven Leonowicz II | Family Medicine | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-05-26 |
| 1033739735 | Seth Ramin Ashraf | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-22 |
| 1558990705 | Alan Rupp | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1538798749 | Nadia Khan | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-08 |
| 1700415643 | Shyamal Pansuriya | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1598394306 | Archana Chandrashekar | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-03 |
| 1326676503 | Ashish Sripathi Kalakuntla | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-04-01 |
| 1407484116 | Taylor M Timoteo | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-29 |
| 1639707458 | Philip Soni Chacko | Surgery | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-28 |
| 1952938938 | Jordynn Baldwin | Student in an Organized Health Care Education/Training Program | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508337122 | Jessica Noelle Redding | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-12-07 |
| 1396235693 | Brittany Kay Moulton | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-05-14 |
| 1689105959 | Tara Taveggia | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-03-27 |
| 1285056267 | Henry Cortez Uban II | Nurse Anesthetist, Certified Registered | 43421 Garfield Rd, Clinton Township, MI 48038-1133 | 2014-01-10 |
| 1508203308 | Laura Marie Gafner | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-06-03 |
| 1902144504 | Matthew Curtis Denryter | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-01-17 |
| 1801160775 | Kerri M Stafford | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2012-02-24 |
| 1487926713 | Jon T Braman | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2012-02-02 |
| 1811273725 | Jennifer M Parker | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2011-10-25 |
| 1730465642 | Matrina M Whitley | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2011-10-25 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.