Provider Demographics
NPI:1205808185
Name:BAKER, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:2140 ARDMORE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4860
Practice Address - Country:US
Practice Address - Phone:412-271-2400
Practice Address - Fax:412-271-0162
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2020-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD039248E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0743289OtherHIGHMARK
PA001163495Medicaid
PA5136193OtherAETNA
PA5136193OtherAETNA
PAF55826Medicare UPIN