Provider Demographics
NPI:1831181262
Name:BAKER, RICHARD P III (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:BAKER
Suffix:III
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 1:800 EATON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1895
Mailing Address - Country:US
Mailing Address - Phone:484-526-7170
Mailing Address - Fax:484-526-7171
Practice Address - Street 1:800 EATON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1895
Practice Address - Country:US
Practice Address - Phone:484-526-7170
Practice Address - Fax:484-526-7171
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032029E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0081522000OtherINDEPENDENCE BLUE CROSS
PA0012351190007Medicaid
PA01595701OtherCAPITAL BLUE CROSS
PA123177OtherHIGHMARK PIN
PA123177V8GMedicare PIN
PA0081522000OtherINDEPENDENCE BLUE CROSS
123177RSUMedicare PIN