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NPI Code Detail

MEDICARE: DR. JAMES MARK BAKER MD

MEDICARE: DR. JAMES MARK 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
1207L00000XAnesthesiology Physician16176OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4050011663OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2141574400OTHERDOL
34350587OTHERAETNA

General Provider Information

NPI Number : 1497748032
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MARK BAKER MD
Provider Business Mailing Address
First Line : PO BOX 272375
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73137-2375
Country : US
Telephone Number : 405-775-9350
Fax Number : 405-775-9360
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD # WP1140
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-4351
Fax Number : 405-271-8695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 04/30/2018

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Directions to “ DR. JAMES MARK BAKER MD” Practice Location

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