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:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418865207W00000X
MDD0029740207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4121977OtherAETNA PPO
MD1308JCOtherCAREFIRST BC BS
PA3190310OtherAETNA HMO
MD3821719OtherAETNA MARYLAND OFFICES
PA50000867OtherCAPITAL BLUE CROSS
PA1363854OtherHIGHMARK BLUE SHIELD
PA180044592OtherRAILROAD MEDICARE
PA50000867OtherKEYSTONE HPC
MDT274 0001OtherCAREFIRST BLUE CHOICE
MDP00050680OtherRAILROAD MEDICARE
MDD0029740Medicaid
PA3190310OtherAETNA HMO
MD433851100Medicaid