Dr. Theresa Blaine Baker Payne
Family Doctor Family Doctor - Geriatric Medicine
180 Nw Haynes St
Madison
, Florida 32340-2010
Dr. Theresa Blaine Baker Payne
Family Doctor Family Doctor - Geriatric Medicine
180 Nw Haynes St
Madison
, Florida 32340-2010
(866) 926-4163
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Theresa Blaine Baker Payne
- Po Box 185
- Madison, FL
- Zip : 32341-0185
- Fax : (866) 926-4163
- Phone : (850) 973-1215
Second Address
- Dr. Theresa Blaine Baker Payne
- 180 Nw Haynes St
- Madison, FL
- Zip : 32340-2010
- Fax : (866) 923-4163
- Phone : (850) 973-1215
Reviews
FAQs
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Is Dr. Theresa Blaine Baker Payne a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | OS9255 | FL |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS9255 | FL |
National Provider Identifier
| NPI | 1306858956 |
|---|---|
| Provider Name | Dr. Theresa Blaine Baker Payne |
| First Address | Madison, FL 32341-0185 |
| Second Address | Madison, FL 32340-2010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 30/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 272752800 | (05) | FL |
| I39506 | (02) | FL |
| P00281257 | RAILROAD MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.