| Marty Allen Baker, MD | |
|
705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 | |
| (704) 671-5300 | |
| (704) 671-6307 |
| Full Name | Marty Allen Baker |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 705 Summit Crossing Pl, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730103953 | NPI | - | NPPES |
| 891292W | Medicaid | NC | |
| 1292W | Other | NC | BCBSNC |
| 237446783 | Other | SC | BCBSSC |
| N00009 | Other | SC | SC MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 200000009 (North Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Marty Allen Baker, MD Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | Marty Allen Baker, MD 705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 Ph: (704) 671-5300 |
Dr. Richard Derek Brugman, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2907 Rousseau Ct, Gastonia, NC 28054 Phone: 980-421-7021 Fax: 980-407-5757 | |
Russell Cox, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2544 Court Dr, Ste C, Gastonia, NC 28054 Phone: 704-867-5356 | |
Cassady Michelaina Hossenlopp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2544 Court Dr, Ste C, Gastonia, NC 28054 Phone: 704-867-5356 | |
Dr. Sharon Roncevich Baxter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 | |
Margaret Lubega, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2644 Court Dr, Gastonia, NC 28054 Phone: 704-868-3664 Fax: 704-868-3665 | |
Dr. Olivia Bridget Mijumbi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 239 Wilmot Dr Ste A, Gastonia, NC 28054 Phone: 704-864-0303 Fax: 704-864-6070 | |
Dr. Constance E Walker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1839 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-864-2685 Fax: 704-864-9363 |