Physician Compare National (NPI:1851739031)

HEALTHCARE PROVIDER: LINDA BAKER

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851739031
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850535915
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130912000025
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAKER
	Individual professional last name
Provider First Name	LINDA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	112 S CLINTON ST
	Group Practice or individual's line 1 address
City	OLEAN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	147603629
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7163781056
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y