MEDICARE: DR. DAVID G BAKER MD

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	207RC0000X	Cardiovascular Disease Physician	L013361	LA

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	:	1356344428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID G BAKER MD

Provider Business Mailing Address
First Line	:	5000 AMBASSADOR CAFFERY PKWY
Second Line	:	BLDG 1
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6984
Country	:	US
Telephone Number	:	337-261-0928
Fax Number	:	337-233-7773

Provider Business Practice Location Address
First Line	:	5000 AMBASSADOR CAFFERY PKWY
Second Line	:	PROVINCE BUILDING 1
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6984
Country	:	US
Telephone Number	:	337-261-0928
Fax Number	:	337-233-7773

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/19/2013

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