MR. CLIFFORD EUGENE BAKER NP
NPI 1104928605
Nurse Practitioner - Family in Gulfport, MS
NPI Status: Active since September 04, 2006
Contact Information
11240 HIGHWAY 49
STE 300
GULFPORT, MS
ZIP 39503
Phone: (228) 284-4342
Fax: (228) 284-4345
- Individual
- Male
- Nurse Practitioner
- Family
About CLIFFORD BAKER
This page provides the complete NPI Profile along with additional information for Clifford Baker, a provider established in Gulfport, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104928605 assigned on September 2006. The practitioner's primary taxonomy code is 363LF0000X with license number R690392 (MS). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1104928605
- Provider Name
- MR. CLIFFORD EUGENE BAKER NP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11240 HIGHWAY 49 STE 300 GULFPORT, MS 39503
- Location Phone
- (228) 284-4342
- Location Fax
- (228) 284-4345
- Mailing Address
- 11240 HIGHWAY 49 STE 300 GULFPORT, MS 39503
- Mailing Phone
- (228) 284-4342
- Mailing Fax
- (228) 284-4345
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2006
- Last Update Date
- 10-26-2015
- Code Navigator
A nurse practitioner (NP) like Clifford Baker is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R690392
- License State
- MS
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R35171 | MEDICARE UPIN (02) | ||
| 500000586 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 0116632 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 2 | 8 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 2 | 16 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 2 + 1 + 6 + 6 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1104928605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104879196 | BENEFIELD EYE CARE, PC Organization | Specialist | 11240 HIGHWAY 49 STE 300 GULFPORT, MS 39503 (228) 328-0972 |
| 1083660757 | HEDY G WALKER OD Individual | Optometrist | 11240 HIGHWAY 49 STE 300 GULFPORT, MS 39503 (228) 328-0972 |
| 1124419031 | AMY HEAD Individual | Nurse Practitioner | 11240 HIGHWAY 49 STE 300 GULFPORT, MS 39503 (228) 284-4342 |
| 1043077811 | YOLANDA ANTOINETTE EDWARDS NP Individual | Nurse Practitioner (Family) | 11240 HIGHWAY 49 GULFPORT, MS 39503 (228) 831-8800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104928605, enumerated in the NPI registry as an "individual" on September 04, 2006
The provider is located at 11240 Highway 49 Ste 300 Gulfport, Ms 39503 and the phone number is (228) 284-4342
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.