Provider Demographics
NPI:1235298423
Name:DAVID J. BAKER, M.D., P.C.
Entity Type:Organization
Organization Name:DAVID J. BAKER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-271-2400
Mailing Address - Street 1:2020 ARDMORE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4608
Mailing Address - Country:US
Mailing Address - Phone:412-271-2400
Mailing Address - Fax:412-271-0162
Practice Address - Street 1:2020 ARDMORE BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4608
Practice Address - Country:US
Practice Address - Phone:412-271-2400
Practice Address - Fax:412-271-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039248E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1235298423OtherGROUP NPI
PAF55826Medicare UPIN
PA097422Medicare ID - Type UnspecifiedDR. ARTHUR W. FLEMING
PA097422Medicare ID - Type UnspecifiedDR. DAVID J. BAKER
PAC28245Medicare UPIN
PA5947170001Medicare NSC