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NPI Code Detail

MEDICARE: JOHN R. BAIRD M.D.

MEDICARE: JOHN R. BAIRD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician36869KY

General Provider Information

NPI Number : 1164482030
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN R. BAIRD M.D.
Provider Business Mailing Address
First Line : 3012 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-339-6550
Fax Number : 502-339-6501
Provider Business Practice Location Address
First Line : 3012 EASTPOINT PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4185
Country : US
Telephone Number : 502-339-6550
Fax Number : 502-339-6501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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