Provider Demographics
NPI:1669480984
Name:BAIRD, ROBERT ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 SAND CANYON AVE
Mailing Address - Street 2:SUITE 511
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3705
Mailing Address - Country:US
Mailing Address - Phone:949-727-3636
Mailing Address - Fax:949-727-9515
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:SUITE 511
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3705
Practice Address - Country:US
Practice Address - Phone:949-727-3636
Practice Address - Fax:949-727-9515
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG23472207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG23472OtherSTATE LICENSE
CAA41959Medicare UPIN
CAG23472OtherSTATE LICENSE
CAG23472AMedicare ID - Type Unspecified