DR. MARK DOUGLAS BAKER (NPI# 1952530594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952530594 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS BAKER |
| Credential | D.O. |
| Practice Address |
2000 W Grandview Blvd Erie PA 16509-1029 |
| Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
| Practice Telephone | 8148681088 |
| Practice Fax Number | 8148681094 |
| Mailing Fax Number | 8148682522 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS006249L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010935600006 | 05 | |
| PA | 0010935600010 | 05 | |
| PA | 0010935600014 | 05 | |
| PA | 0010935600015 | 05 | |
| PA | 0010935600007 | 05 | |
| PA | 0010935600008 | 05 | |
| PA | 0010935600011 | 05 | |
| PA | 0010935600013 | 05 | |
| PA | 0010935600012 | 05 | |
| PA | 0010935600016 | 05 | |
| PA | 0010935600009 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2021 E 20th St, Erie, PA 165101147 | 8148990687 | 8148993247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178291 | Mark Jon Baker | Occupational Therapy Assistant | 1 San Bruno Ave Unit G, Brisbane, CA 94005-1505 | 2020-06-09 |
| 1366864050 | Mark Baker | Nurse Practitioner | 332 Glenolden Ct, Cary, NC 27513-3287 | 2014-01-14 |
| 1295053114 | Mark David Baker | Psychiatry & Neurology | Neurology 1161 21st Ave South A 1106a Mcn, Nashville, TN 37232-2551 | 2010-05-17 |
| 1528239506 | Mark Baker | Psychologist | 650 Sierra Madre Villa, La Vie Psychology Group, Suite 110, Pasadena, CA 91107 | 2008-03-18 |
| 1124182282 | Mark Baker | Optometrist | 7600 Kingston Pike Ste 1110-a, Knoxville, TN 37919-5603 | 2006-12-21 |
| 1417011016 | Mark Lee Baker | Chiropractor | 610 N Main St # 5a, Clearfield, UT 84015-3200 | 2006-12-20 |
| 1184798811 | Mark Ensio Baker | Dentist | 165 N 14th Ave, Pocatello, ID 83201-4146 | 2006-11-17 |
| 1568558112 | Mark C. Baker | Dentist | Thirty North Endodontics, 30 N. Michigan Avenue, #1320, Chicago, IL 60602 | 2006-10-04 |
| 1619088804 | Mark William Baker | Chiropractor | 2732n Lincoln Ave, Chicago, IL 60614-7431 | 2006-08-31 |
| 1871536151 | Mark A Baker | Radiology | 6957 W Plano Pkwy Ste 1100, Plano, TX 75093-1621 | 2006-06-14 |
| Street Address |
2000 W GRANDVIEW BLVD |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780608695 | Michael J. Parenti | Dentist | 2000 W Grandview Blvd, Erie, PA 16509-1029 | 2006-07-26 |
| 1518352939 | Lake Erie College of Osteopathic Medicine | Dentist | 2000 W Grandview Blvd, Erie, PA 16509-1029 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638642 | Tom Root Miller II | Family Medicine | 35 Niagara Pier, Erie, PA 16507-2312 | 2020-01-22 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1528422870 | Jessica Jean Partlow | Family Medicine | 311 W 24th St Fl 4, Erie, PA 16502-2665 | 2016-04-12 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1114350808 | Bruce W Baldwin | Family Medicine | 5704 Brewster Ln, Erie, PA 16505-1110 | 2013-08-16 |
| 1477994689 | Joshua Yates Taylor | Family Medicine | 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 | 2013-07-16 |
| 1629413257 | Amina Yasser | Family Medicine | 2314 Sassafras St Fl 2, Erie, PA 16502-2722 | 2013-05-09 |
| 1811258122 | Sandy Tapuyao Clemente | Family Medicine | 3822 Colonial Ave Ste C, Erie, PA 16506-3826 | 2012-06-04 |
| 1730470204 | Thomas Leo Obenreder | Family Medicine | 3232 Hannon Rd, Erie, PA 16510-4450 | 2011-05-02 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| Find all providers in ERIE | ||||
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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.