Physician Compare National (NPI:1407296627)

HEALTHCARE PROVIDER: TRAVIS BAKER PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407296627
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880825579
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140321001073
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAKER
	Individual professional last name
Provider First Name	TRAVIS
	Individual professional first name
Provider Middle Name	RYAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST JOSEPH REGIONAL HEALTH CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5294727921
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	146
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2801 FRANCISCAN DR
	Group Practice or individual's line 1 address
City	BRYAN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	778022544
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y