Provider Demographics
NPI:1538230263
Name:BAIRD, DOUGLAS MURRAY III (DO)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:MURRAY
Last Name:BAIRD
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13540 WALSINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3546
Mailing Address - Country:US
Mailing Address - Phone:727-593-5492
Mailing Address - Fax:727-593-5440
Practice Address - Street 1:13540 WALSINGHAM RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3546
Practice Address - Country:US
Practice Address - Phone:727-593-5492
Practice Address - Fax:727-593-5440
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS2471207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000257301OtherFLORIDA MEDICAID GROUP #
FL6211072OtherCIGNA
FL18007OtherUNIVERSAL #
FLAL403OtherMEDICARE GROUP #
FLP00700372OtherRMMCARE
FL5036750OtherAETNA #
FL816902OtherMEDICARE ID TYPE UNSPECIFIED
FL72062OtherBLUE CROSS/BLUE SHIELD CORP #
FL81690OtherBC/BS
FLSG092588OtherCOVENTRY
FL000130100Medicaid
FL000130100Medicaid