Individual
ANDREW R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
915 OLENTANGY RIVER RD, SUITE 2100, COLUMBUS, OH 43212-3153
(614) 293-8566
(614) 293-9024
Mailing address
6365 WINCHESTER BLVD STE A, CANAL WINCHESTER, OH 43110-2069
(614) 524-4146
(614) 502-5613
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.003568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073038
—
OH
01
—
P01161472
RAILROAD MEDICARE
OH
Enumeration date
05/24/2012
Last updated
12/10/2024
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