=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235298423
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID J. BAKER, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2006
-----------------------------------------------------
Last Update Date | 11/27/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2020 ARDMORE BLVD SUITE 105
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-4608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-271-2400
-----------------------------------------------------
Fax | 412-271-0162
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2020 ARDMORE BLVD SUITE 105
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-4608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-271-2400
-----------------------------------------------------
Fax | 412-271-0162
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWER
-----------------------------------------------------
Name | DR. DAVID J. BAKER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 412-271-2400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | MD039248E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------