Provider Demographics
NPI:1609879261
Name:BAIRD, AIMEE B (MD)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:B
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65-1235A OPELO RD # 6
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8401
Mailing Address - Country:US
Mailing Address - Phone:808-887-1210
Mailing Address - Fax:866-414-9565
Practice Address - Street 1:65-1235A OPELO RD # 6
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8401
Practice Address - Country:US
Practice Address - Phone:808-887-1210
Practice Address - Fax:866-414-9565
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-24059-0207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG95589Medicare UPIN
KSH434351Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
MOK67000037Medicare PIN
KSK67A00015Medicare PIN