Healthcare Provider Details

I. General information

NPI: 1053453928
Provider Name (Legal Business Name): JAMES DONALD BAKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8989 HURON ST
THORNTON CO
80260-6858
US

IV. Provider business mailing address

1870 W 122ND AVE STE 100
WESTMINSTER CO
80234-2075
US

V. Phone/Fax

Practice location:
  • Phone: 303-853-3500
  • Fax: 303-853-3702
Mailing address:
  • Phone: 240-371-0259
  • Fax: 303-853-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number20695
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number47063
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0047063
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: