MEDICARE: THOMAS EDWIN BAKER DO

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
1	207X00000X	Orthopaedic Surgery Physician	34002355	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	200023306	OTHER		RAILROAD MEDICARE
13	990006985	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0004202190	OTHER	AETNA
2	0900910	OTHER	UNITED HEALTHCARE
4	8960	OTHER	OHIO HEALTH CHOICE
5	0900007	OTHER	UNITED HEALTHCARE
6	310846816THB	OTHER	SUMMIT
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8960	OTHER	NATIONWIDE
9	000000006750	OTHER	ANTHEM
10	1777531	OTHER	CIGNA
11	000000006749	OTHER	ANTHEM
12	310846816005	OTHER	PRUDENTIAL

General Provider Information

NPI Number	:	1659330827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS EDWIN BAKER DO

Provider Business Mailing Address
First Line	:	5131 BEACON HILL RD
Second Line	:	SUITE 160
City	:	COLUMBUS
State	:	OH
Zip	:	43228-4442
Country	:	US
Telephone Number	:	614-544-2815
Fax Number	:	614-544-2816

Provider Business Practice Location Address
First Line	:	5131 BEACON HILL RD
Second Line	:	SUITE 160
City	:	COLUMBUS
State	:	OH
Zip	:	43228-4442
Country	:	US
Telephone Number	:	614-544-2815
Fax Number	:	614-544-2816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/09/2013

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Directions to “ THOMAS EDWIN BAKER DO” Practice Location

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