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NPI Code Detail

MEDICARE: WILLIAM J BAKER MD

MEDICARE: WILLIAM J 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 Physician19914OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050084626OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
274821000OTHERTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538127675
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J BAKER MD
Provider Business Mailing Address
First Line : PO BOX 1884
Second Line :
City : ADA
State : OK
Zip : 74821-1884
Country : US
Telephone Number : 580-272-9162
Fax Number : 580-272-9162
Provider Business Practice Location Address
First Line : 430 N MONTE VISTA ST
Second Line :
City : ADA
State : OK
Zip : 74820-4610
Country : US
Telephone Number : 580-332-2323
Fax Number : 580-421-6100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 06/06/2008

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Directions to “ WILLIAM J BAKER MD” Practice Location

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