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NPI Code Detail

MEDICARE: JOEL E. BACKER MD

MEDICARE: JOEL E. BACKER 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
1207V00000XObstetrics & Gynecology Physician0101226169VA
2207Q00000XFamily Medicine Physician0101226169VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811952393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL E. BACKER MD
Provider Business Mailing Address
First Line : 10900 NE 4TH ST STE 1900
Second Line :
City : BELLEVUE
State : WA
Zip : 98004-8410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE
Second Line : SUITE 250
City : MIRAMAR
State : FL
Zip : 33027-6308
Country : US
Telephone Number : 877-866-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 06/12/2026

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