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General NPI Number Information
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NPI Number | 1104884279
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Entity Type | Individual
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Provider Name | SCOTT WILLIAM BAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 3318 HEALY DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1404
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Country | US
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Telephone | 336-768-3530
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Fax | 336-768-1329
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Provider Business Mailing Address
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Address Line | 3318 HEALY DR
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1404
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Country | US
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Telephone | 336-768-3530
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Fax | 336-768-1329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 00-34813
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 34813
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 34813
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License Number State | NC
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