DR. RUSSELL BARRE BAKER NPI 1760043822

NPI Information

NPI: 1760043822
Provider Name: DR. RUSSELL BARRE BAKER
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
309 11TH ST
CARROLLTON, KY
ZIP 41008
Phone: (502) 732-3280
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DR. Russell Barre Baker is a foot and ankle surgery podiatrist in Carrollton, KY with 5 years of experience. DR. Russell Barre Baker NPI is 1760043822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

309 11TH ST
CARROLLTON, KY
ZIP 41008-435
Phone: (502) 732-3280
Fax: (502) 732-3284

The NPI 1760043822 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).

The enumeration date for this NPI number is 6/27/2019 and was last updated on 4/8/2024.

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	213E00000X	Podiatrist		247793	KENTUCKY	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	247793	KENTUCKY	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	7100919580	MEDICAID	KENTUCKY
2	300084017	MEDICAID	INDIANA

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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