MR. MICHAEL RUSSELL BAKER PA
NPI 1659346047
Physician Assistant - Surgical in Omaha, NE

Active since February 21, 2006
11704 W CENTER RD, STE 200, OMAHA, NE 68144(402) 691-0500(402) 505-6249 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michael Russell Baker Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL RUSSELL BAKER PA (NPI 1659346047) is an individual surgical provider in Omaha, Nebraska, licensed in Nebraska (196) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1659346047
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL RUSSELL BAKERCredential: PA
Location Address11704 W CENTER RD, STE 200Omaha, NE 68144-4375
Mailing Address11704 W Center Rd, Ste 200Omaha, NE 68144-4375 · (402) 691-0500 · Fax (402) 505-6249
Fax(402) 505-6249
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
NPI 1659346047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NE · 196
11704 W CENTER RD, Omaha, NE 68144

Other Identifiers 2

OtherR80756IA · Ia Bcbs Provider Nmbr
Other196NE · Ne Pa License Nmbr

Accepted Insurance

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Hand Surgery)
11704 W CENTER RD, STE 200
OMAHA, NE 68144
11704 W CENTER RD, STE 200
OMAHA, NE 68144
Internal Medicine
11704 W CENTER RD, SUITE 210
OMAHA, NE 68144
Physical Therapist
11704 W CENTER RD, STE. 100
OMAHA, NE 68144
Physical Therapy Assistant
11704 W CENTER RD, SUITE #200
OMAHA, NE 68144
Otolaryngology
11704 W CENTER RD, SUITE 211
OMAHA, NE 68144
Otolaryngology
11704 W CENTER RD, SUITE 211
OMAHA, NE 68144
Orthopaedic Surgery
11704 W CENTER RD, STE 200
OMAHA, NE 68144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659346047, enumerated as an "individual" on February 21, 2006.

The provider is located at 11704 W CENTER RD STE 200 OMAHA, NE 68144 and the phone number is (402) 691-0500.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.