Healthcare Provider Details

I. General information

NPI: 1023109105
Provider Name (Legal Business Name): T SCOTT BAKER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 W BADDOUR PKWY
LEBANON TN
37087-3061
US

IV. Provider business mailing address

PO BOX 1165
LEBANON TN
37088-1165
US

V. Phone/Fax

Practice location:
  • Phone: 615-257-0900
  • Fax: 615-443-1444
Mailing address:
  • Phone: 615-257-0900
  • Fax: 615-443-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD31328
License Number StateTN

VIII. Authorized Official

Name: T SCOTT BAKER
Title or Position: PRESIDENT
Credential: MD
Phone: 615-257-0900