Healthcare Provider Details

I. General information

NPI: 1669891594
Provider Name (Legal Business Name): ZACHARY BAKER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 EAST MARKET STREET SUMMA AKRON HOSPITAL
AKRON OH
44304
US

IV. Provider business mailing address

317 LEXINGTON AVE APT 342
SAN ANTONIO TX
78215-1920
US

V. Phone/Fax

Practice location:
  • Phone: 989-390-2006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.013519
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDOS-2264
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: