ANNA BAKEMAN NPI 1538521869

NPI Information

NPI: 1538521869
Provider Name: ANNA BAKEMAN
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
217 RADIO DR
WOODBURY, MN
ZIP 55125
Phone: (651) 632-9700
Get Directions

Anna Bakeman is a facial plastic surgery otolaryngology in Woodbury, MN with 8 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Anna Bakeman NPI is 1538521869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2016

The provider's business location address is:

217 RADIO DR
WOODBURY, MN
ZIP 55125-805
Phone: (651) 632-9700

The NPI 1538521869 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 3/25/2016 and was last updated on 9/27/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YP0228X	Otolaryngology	Pediatric Otolaryngology	74763	WISCONSIN	No
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	35.144646	OHIO	No
3	207Y00000X	Otolaryngology		35.144646	OHIO	No
4	207Y00000X	Otolaryngology		74763	WISCONSIN	No
5	207YS0123X	Otolaryngology	Facial Plastic Surgery	73996	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1538521869	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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