Randolph Marshall Baker
Internal Medicine

Address: 33 Rebecca Dr, Palmyra, VA 22963-6242
Phone: 4346544680

Randolph Marshall Baker (NPI# 1265448310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265448310
Entity Type Individual
Full Name Randolph Marshall Baker
Credential MD
Gender Male
Practice Address 33 Rebecca Dr
Palmyra
VA 22963-6242
Practice Telephone 4346544680
Practice Fax Number 4345896688
Mailing Address Po Box 79777
Baltimore
MD 21279-0777
Mailing Telephone 4346547794
Mailing Fax Number 4346547752
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-31
Last Update Date 2016-11-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 0101259557 VA

Other Providers RANDOLPH BAKER

NPI Name Taxonomy Address Enumeration
1871962100 Randolph Terry Baker Massage Therapist 3461 Lawrenceville Suwanee Rd, Suite B, Suwanee, GA 30024-6428 2015-09-16

Physician Overview

NPI 1265448310
PAC ID by PECOS 3072706522
Professional Enrollment ID I20161004001673
Full Name Randolph M Baker
Organization Legal Name MARTHA JEFFERSON MEDICAL GROUP LLC
Phone Number 4346544680
Gender M
Graduation Year 1995
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 5991889081
Number of Group Practice Members 138
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490077 SENTARA MARTHA JEFFERSON HOSPITAL

Office Location

Street Address 33 REBECCA DR
City PALMYRA
State VA
Zip Code 22963-6242

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720086622 William Avery Mix Family Medicine 33 Rebecca Dr, Palmyra, VA 22963-6242 2005-07-13
1609204569 Lissette Kinsella Nurse Practitioner 33 Rebecca Dr, Palmyra, VA 22963-6242 2013-10-30
1942413109 Laura C Howard Internal Medicine 33 Rebecca Dr, Palmyra, VA 22963-6242 2007-05-07
1093758534 Paige B Nolte Internal Medicine 33 Rebecca Dr, Palmyra, VA 22963-6242 2006-06-13
1316991227 Katherine Smyth Pediatrics 33 Rebecca Dr, Palmyra, VA 22963-6242 2006-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851809941 Alexa Cservek Psychologist 9172 James Madison Hwy, Palmyra, VA 22963 2018-01-11
1538521646 Ryan Mckinney Physical Therapist 77 Market St Ste B, Palmyra, VA 22963 2016-03-28
1699159251 Lucy Little Hill Community Health Worker 3 Dew Court, Palmyra, VA 22963 2015-07-14
1720380306 Sandra Mae Chirico Occupational Therapist 473 Jefferson Drive West, Palmyra, VA 22963 2010-12-02
1225263486 Lucy Ricardo Larsen Acupuncturist 202 Turkeysag Trail, Palmyra, VA 22963 2009-05-18
1720132293 James Colburn Steere Dentist 13653 James Madison Hwy, Palmyra, VA 22963 2007-01-22
1831106327 Commonwealth of Virginia State Board of Health Public Health or Welfare 132 Main Street, County Office Building, Palmyra, VA 22963 2006-08-01
1356361430 Susan J. Moore Internal Medicine 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 2006-07-20
1962991018 Catherine Pendleton Davis Nurse Practitioner 83 Jefferson Dr, Palmyra, VA 22963-2022 2018-05-04
1083886360 Virginia Cvs Pharmacy, L.l.c. Durable Medical Equipment & Medical Supplies 28 Abby Rd, Palmyra, VA 22963-2085 2008-03-27
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356361430 Susan J. Moore Internal Medicine 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 2006-07-20
1942413109 Laura C Howard Internal Medicine 33 Rebecca Dr, Palmyra, VA 22963-6242 2007-05-07
1952315012 Erich K Batra Internal Medicine 941 Park Dr, Palmyra, PA 17078-3445 2006-07-27
1093758534 Paige B Nolte Internal Medicine 33 Rebecca Dr, Palmyra, VA 22963-6242 2006-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033679063 Warren Joseph Marion Internal Medicine 38483 Forest Mills Rd, Leesburg, VA 20175 2019-03-25
1629549779 Cleanslate Medical Group of Virginia, LLC Internal Medicine 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 2018-12-16
1992272595 Huseyin Dogan Internal Medicine 6319 Castle Pl Ste 1e, Falls Church, VA 22044-1907 2018-11-01
1144704040 Bao Dinh Do PC Internal Medicine 3301 Woodburn Rd Ste 311, Annandale, VA 22003-1229 2018-09-18
1114400322 Hiren B Parikh, Md Pllc Internal Medicine 3338 Circle Brook Dr, Roanoke, VA 24018-9438 2018-09-13
1013499623 Bloom Geriatrics LLC Internal Medicine 1714 E Hundred Rd Ste 101, Chester, VA 23836-3310 2018-08-30
1750860466 Mkrtich Patatanyan Internal Medicine 96 15th St Nw Ste 106, Norton, VA 24273-1625 2018-08-13
1548756372 Arfa Ahmad Internal Medicine 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 2018-07-04
1205320116 Sonia Ayisi Johnson Internal Medicine 6715 Little River Tpke Ste 205, Annandale, VA 22003-3546 2018-06-15
1568954535 Warren Memorial Hospital, Inc. Internal Medicine 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 2018-06-05
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Competitor

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City PALMYRA
Zip Code 22963

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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