Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | D0029740 | MD |
Y | 207W00000X | Ophthalmologist | MD418865 | PA |
NPI | 1013984848 |
---|---|
Provider Name | Dr. John C Baer |
First Address | Hanover, PA 17331-2534 |
Second Address | Hanover, PA 17331-2534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 17/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013067670002 | (05) | PA |
1308JC | CAREFIRST BC BS (01) | MD |
1363854 | HIGHMARK BLUE SHIELD (01) | PA |
180044592 | RAILROAD MEDICARE (01) | PA |
3190310 | AETNA HMO (01) | PA |
3821719 | AETNA MARYLAND OFFICES (01) | MD |
4121977 | AETNA PPO (01) | PA |
433851100 | (05) | MD |
433851101 | (05) | MD |
50000867 | CAPITAL BLUE CROSS (01) | PA |
50000867 | KEYSTONE HPC (01) | PA |
B74901 | (02) | PA |
P00050680 | RAILROAD MEDICARE (01) | MD |
T274 0001 | CAREFIRST BLUE CHOICE (01) | MD |