Kelli J Baker (NPI# 1255880779, PAC ID# 3476831967) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255880779 |
| PAC ID by PECOS | 3476831967 |
| Professional Enrollment ID | I20161104000037 |
| Full Name | Kelli J Baker |
| Organization Legal Name | DIABETES AND ENDOCRINOLOGY ASSOCIATES OF STARK COUNTY INCORPORATED |
| Address |
4565 Dressler Rd Nw Suite 111 Canton OH 44718-2576 |
| Phone Number | 3304930013 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880628569 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| 360010 | UNION HOSPITAL |
| 360148 | POMERENE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 | 3304930013 | DIABETES AND ENDOCRINOLOGY ASSOCIATES OF STARK COUNTY INCORPORATED |
| Organization Legal Name | DIABETES AND ENDOCRINOLOGY ASSOCIATES OF STARK COUNTY INCORPORATED |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura H Fries | Nurse Practitioner | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Margaret A Koenig | Registered Dietitian Or Nutrition Professional | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Arvind Y Krishna | Endocrinology | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Heidi M Daugherty | Nurse Practitioner | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Beth Anne Lawrence | Registered Dietitian Or Nutrition Professional | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Street Address |
4565 DRESSLER RD NW SUITE 111 |
| City | CANTON |
| State | OH |
| Zip | 44718-2576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura H Fries | Nurse Practitioner | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Margaret A Koenig | Registered Dietitian Or Nutrition Professional | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Arvind Y Krishna | Endocrinology | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Heidi M Daugherty | Nurse Practitioner | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Beth Anne Lawrence | Registered Dietitian Or Nutrition Professional | Diabetes and Endocrinology Associates of Stark County Incorporated | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mcavinew | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Ebony Lewis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Kimberly R Oney | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Gina Kicos | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Adarsh Vennepureddy | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Shawn Richards | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Sunitha Vemulapalli | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Gust Pantelas | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Matthew Licause | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Alina Marie Wolf | Physician Assistant | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Find all physicians in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelli J Baker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.