Provider Demographics
NPI:1730368929
Name:BAKER, ADAM J (PA-C)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:BAKER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4700 HALE PKWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4045
Mailing Address - Country:US
Mailing Address - Phone:303-333-8740
Mailing Address - Fax:303-333-3314
Practice Address - Street 1:4700 HALE PKWY STE 360
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4041
Practice Address - Country:US
Practice Address - Phone:720-754-4410
Practice Address - Fax:303-321-0344
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2022-01-26
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Provider Licenses
StateLicense IDTaxonomies
CO2423363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC810697Medicare PIN