Healthcare Provider Details

I. General information

NPI: 1407989353
Provider Name (Legal Business Name): JOHN SCOTT BAKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 SOUTH STREET SUITE 3
HIGHLANDS NC
28741-2874
US

IV. Provider business mailing address

PO BOX 668
HIGHLANDS NC
28741-0668
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-1700
  • Fax: 828-787-2451
Mailing address:
  • Phone: 828-526-1700
  • Fax: 828-787-2451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9500793
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: