Provider Demographics
NPI:1922028596
Name:BAKER, RICHARD HAL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HAL
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:R.
Other - Middle Name:HAL
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-741-8003
Mailing Address - Fax:717-741-8016
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-461-7404
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048676L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011082OtherJOHNS HOPKINS
PA233280OtherMAMSI-WMG
MD528195OtherCAREFIRST MD BCBS
PA689613OtherHIGHMARK BLUE SHIELD
PA81794OtherUNISON-WMG
PA1142279OtherAMERIHEALTH MERCY-WMG
PA93653OtherGEISINGER
PAP002842OtherGATEWAY-WMG
PA01060401OtherCAPITAL BLUE CROSS-WMG
PA5927077OtherAETNA
PA001516998Medicaid
PA0792013000OtherAMERIHEALTH 65 PA
PA110114832OtherRAILROAD MEDICARE
MD528195OtherCAREFIRST MD BCBS
PA5927077OtherAETNA