Provider Demographics
NPI:1013984848
Name:BAER, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:BAER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2534
Mailing Address - Country:US
Mailing Address - Phone:717-632-6063
Mailing Address - Fax:717-632-8337
Practice Address - Street 1:250 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2534
Practice Address - Country:US
Practice Address - Phone:717-632-6063
Practice Address - Fax:717-632-8337
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0029740207W00000X
PAMD418865207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013067670002Medicaid
MD1308JCOtherCAREFIRST BC BS
PA50000867OtherKEYSTONE HPC
MDT274 0001OtherCAREFIRST BLUE CHOICE
PA180044592OtherRAILROAD MEDICARE
MDP00050680OtherRAILROAD MEDICARE
MD3821719OtherAETNA MARYLAND OFFICES
PA50000867OtherCAPITAL BLUE CROSS
PA1363854OtherHIGHMARK BLUE SHIELD
PA4121977OtherAETNA PPO
MD433851101Medicaid
PA3190310OtherAETNA HMO
MD433851100Medicaid