MEDICARE: DR. DAVID J BAKER MD

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
1	207W00000X	Ophthalmology Physician	MD039248E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0743289	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5136193	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1205808185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J BAKER MD

Provider Business Mailing Address
First Line	:	3824 NORTHERN PIKE
Second Line	:	SUITE 700
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2141
Country	:	US
Telephone Number	:	412-457-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 ARDMORE BLVD
Second Line	:	SUITE 150
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-4860
Country	:	US
Telephone Number	:	412-271-2400
Fax Number	:	412-271-0162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	11/11/2020

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Directions to “ DR. DAVID J BAKER MD” Practice Location

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