RICHARD E BAKER JR.

Address: 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012
Phone: 4019195222

RICHARD E BAKER JR. (NPI# 1114920121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114920121
Entity Type 1 - Individual
Full Name RICHARD E BAKER JR.
Credential D.P.M.
Practice Address 400 Massasoit Ave
Suite 201
E Providence
RI 02914-2012
Mailing Address 289 Pleasant St
Ste 401
Fall River
MA 02721-3005
Practice Telephone 4019195222
Practice Fax Number 4019195227
Mailing Telephone 5086467720
Mailing Fax Number 5086467721
Enumeration Date 05/23/2005
Last Update Date 12/02/2016
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
RIDPM265 RI Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
1924 MA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI CIGNA 4100731001 01
RI 9007074 05
RI UNITED HEALTHCARE 2700472 01
RI NEIGHBORHOOD HEALTH 27507 01
RI RI BLUE CROSS 0000023116 01
RI RI BLUE CHIP 403424 01
RI RAILROAD MEDICARE 480033069 01
RI AETNA US HEALTHCARE 2301915 01
RI TUFTS 453013 01

Office Location

Street Address 400 MASSASOIT AVE
SUITE 201
City E PROVIDENCE
State RI
Zip Code 02914-2012

Providers with the same location

NPI Name Address
1245233261 JACK D GOLDSTEIN 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012
1144606799 JESSICA LEBLANC 400 Massasoit Ave, Suite 300, E Providence, RI 02914-2012

Competitor

Search similar physicians

City E PROVIDENCE
Zip Code 02914

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.