Healthcare Provider Details

I. General information

NPI: 1134482706
Provider Name (Legal Business Name): SARAH E. BAKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MEDICAL CENTER BLVD
MARRERO LA
70072-3147
US

IV. Provider business mailing address

636 BURDETTE ST
NEW ORLEANS LA
70118-3937
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-6713
  • Fax: 504-349-6733
Mailing address:
  • Phone: 318-347-6780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number82492
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number84806
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD.208197
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD.208197
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD.208197
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: