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NPI Code Detail

MEDICARE: JOHN REID BAKER MD

MEDICARE: JOHN REID BAKER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianR6907KY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225882442
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN REID BAKER MD
Provider Business Mailing Address
First Line : 900 HOSPITAL DR
Second Line :
City : MADISONVILLE
State : KY
Zip : 42431-1644
Country : US
Telephone Number : 270-825-6680
Fax Number :
Provider Business Practice Location Address
First Line : 200 CLINIC DR
Second Line :
City : MADISONVILLE
State : KY
Zip : 42431-1661
Country : US
Telephone Number : 270-825-6680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 06/09/2026

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