Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Baker, PA

Individual provider Physician Assistant · NPI 1104204221

Mackenzie Baker, PA is a Physician Assistant in Kettering, Ohio. Qualified in 2019, 7 years ago. Practices with Extended Care Specialists, Inc, a 290-clinician group, works from 11 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
Fax: (937) 395-8347
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (937) 702-4500
  • 1997 Miamisburg Centerville Rd, Centerville, OH 45459-3811 — (937) 401-6228
  • 405 W Grand Ave, Dayton, OH 45405-7538 — (937) 723-3211
  • 450 Washington Jackson Rd Ste F, Eaton, OH 45320-8699 — (937) 456-8376
  • 100 Kettering Way, Franklin, OH 45005-1155 — (937) 458-4700
  • 8701 Old Troy Pike, Huber Heights, OH 45424-1066 — (937) 558-3338
  • 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 — (937) 384-8791
  • 6147 State Route 122, Middletown, OH 45005-5201 — (513) 261-3410
  • 600 W Main St, Troy, OH 45373-2928 — (937) 980-7010
  • 1141 N Monroe Dr, Xenia, OH 45385-1619 — (937) 352-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006106RX (OH)

Record details

NPI number1104204221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020
Mailing address3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Extended Care Specialists, Inc — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kettering