THOMAS BAKER CRNA NPI 1346216744

Nurse Anesthetist, Certified Registered in Detroit, MI

About THOMAS BAKER

Thomas Baker is a provider in Detroit, MI with more than 30 years of experience. The NPI number assigned to this provider is 1346216744. The practitioner's primary taxonomy code is Nurse Anesthetist, Certified Registered (367500000X). The provider is registered as an individual and their NPI record was last updated 11 years ago. Thomas Baker is registered with Medicare and accepts claims assignment.

NPI

1346216744

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name THOMAS BAKER CRNA
Provider Location Address6071 W OUTER DR DETROIT, MI 48235 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 67000 DEPT 203401 DETROIT, MI 48267 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1988
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-24-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THOMAS BAKER CRNA
6071 W OUTER DR
DETROIT, MI
ZIP 48235
Phone: (952) 442-9770

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Mailing Address

THOMAS BAKER CRNA
PO BOX 67000
DEPT 203401
DETROIT, MI
ZIP 48267
Phone: (952) 442-9770

Primary Taxonomy

Taxonomy Code367500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.4704147166
License StateMI
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation

PECOS PAC ID2860563087
PECOS Enrollment IDI20091208000371
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
GEISINGER MEDICAL CENTER390006

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
N24360141MEDICARE ID-TYPE UNSPECIFIED (04)MI
TB147166OTHER (01)MI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003873076 ZAKLINA DENDOOVEN CRNA
Individual
Nurse Anesthetist, Certified Registered6071 W OUTER DR
DETROIT, MI 48235
(952) 442-9770
1003877424DR. MATTHEW J GRIFFIN M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1174590384MR. DAVID CHRISTOPHER MILLER PA-C
Individual
Physician Assistant6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3250
1205836806SELECT SPECIALTY HOSPITAL - NORTHWEST DETROIT INC
Organization
Long Term Care Hospital6071 W OUTER DR 7TH FLOOR
DETROIT, MI 48235
(313) 966-4797
1346201399 BEVELY ROBERTS CRNA
Individual
Nurse Anesthetist, Certified Registered6071 W OUTER DR
DETROIT, MI 48235
(952) 442-9770
1427018225DR. MELISSA A BARTON M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1447215538GRACE UNIVERSITY MEDICAL GROUP
Organization
Internal Medicine6071 W OUTER DR DEPT OF MEDICINE 4TH FLOOR
DETROIT, MI 48235
(313) 966-4946
1447219670DR. REGINA T NOACK M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1487623617DR. MARC-ANTHONY Q VELILLA M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1497714265DR. CLAUDIA I WHITAKER M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1528022118SINAI HOSPITAL OF GREATER DETROIT
Organization
Psychiatric Unit6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1528037785DR. ALLISON LEVI M.D.
Individual
Emergency Medicine (Emergency Medical Services)6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1558320598DR. ANN MARIE GARRITANO M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1588623763DR. RAJAN U POPAT M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3000
1760442586DR. MARK W BRAUTIGAN M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1780645630SINAI HOSPITAL OF GREATER DETROIT
Organization
General Acute Care Hospital6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1790746113DR. MARC S ROSENTHAL D.O.
Individual
Emergency Medicine6071 W OUTER DR SINAI-GRACE HOSPITAL
DETROIT, MI 48235
(313) 966-1785
1801853767SINAI HOSPITAL OF GREATER DETROIT
Organization
Rehabilitation Unit6071 W OUTER DR
DETROIT, MI 48235
(313) 966-2026
1871553404DR. HAROLD S DERSTINE M.D.
Individual
Emergency Medicine6071 W OUTER DR
DETROIT, MI 48235
(313) 966-3300
1902866734DR. REGINALD J EADIE M.D.
Individual
Emergency Medicine (Emergency Medical Services)6071 W OUTER DR
DETROIT, MI 48235
(313) 745-2780
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