Provider Demographics
NPI:1356748602
Name:ROBERT A BAIRD MD INCORPORATED
Entity type:Organization
Organization Name:ROBERT A BAIRD MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-721-9467
Mailing Address - Street 1:32 BELCOURT DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-4213
Mailing Address - Country:US
Mailing Address - Phone:949-721-9467
Mailing Address - Fax:949-719-9320
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:92618-3711
Practice Address - Country:US
Practice Address - Phone:949-727-1946
Practice Address - Fax:949-719-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23472207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG23472OtherSTATE LICENSE
CAA41959Medicare UPIN
0402890001Medicare NSC