Provider Demographics
NPI:1558360487
Name:BAECHER, PAUL S (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:BAECHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 COTTAGE ST STE D
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2178
Mailing Address - Country:US
Mailing Address - Phone:413-549-8400
Mailing Address - Fax:413-549-8409
Practice Address - Street 1:29 COTTAGE ST STE D
Practice Address - Street 2:KATHERINE J. ATKINSON, MD, PC
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2178
Practice Address - Country:US
Practice Address - Phone:413-549-8400
Practice Address - Fax:413-549-8409
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000053797OtherBMC HEALTH NET
MA4027993OtherAETNA
MA1164004OtherFALLON
MA1558360487OtherNPI
MA24211OtherHNE
MA775513OtherTUFTS
MA3194302Medicaid
MA7256788OtherCIGNA
MAJ21010OtherBLUE CROSS & BLUE SHIELD
MA080699OtherCONNECTICARE
MA710698OtherHPHC
MA710698OtherHPHC
MAB36490Medicare UPIN