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DR. PHILIP LUKE BAESE M.D. NPI 1184669848


NPI Information

NPI: 1184669848
Provider Name: DR. PHILIP LUKE BAESE, M.D.
Classification: Psychiatry & Neurology - 2084P0005X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

Organization: UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES

PECOS Registration: Yes

Address:
650 KOMAS DR
200
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 581-5515
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DR. Philip Luke Baese, M.D. is a neurodevelopmental disabilities psychiatry neurology in Salt Lake City, UT with 27 years of experience. The provider is a pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. DR. Philip Luke Baese, M.D. NPI is 1184669848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1997

The provider's business location address is:

650 KOMAS DR
200
SALT LAKE CITY, UT
ZIP 84108-229
Phone: (801) 581-5515

The NPI 1184669848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 10/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities363340-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.