MEDICARE: DONALD V BAKER D.O. FACEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	DO 724	AL
2	207P00000X	Emergency Medicine Physician	46667	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003873860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD V BAKER D.O. FACEP

Provider Business Mailing Address
First Line	:	7063 VETERANS PKWY
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-5114
Country	:	US
Telephone Number	:	205-814-2105
Fax Number	:	205-814-2105

Provider Business Practice Location Address
First Line	:	7063 VETERANS PKWY
Second Line	:
City	:	PELL CITY
State	:	AL
Zip	:	35125-5114
Country	:	US
Telephone Number	:	205-814-2105
Fax Number	:	205-814-2105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	03/04/2020

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