MEDICARE: RAYMOND EDWARD BAKER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	28124995A	IN
2	367500000X	Certified Registered Nurse Anesthetist	224196	OK

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659379873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND EDWARD BAKER CRNA

Provider Business Mailing Address
First Line	:	1407 BORGER ST
Second Line	:
City	:	PLAINVIEW
State	:	TX
Zip	:	79072-4735
Country	:	US
Telephone Number	:	806-808-2761
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 STANTON L YOUNG BLVD STE 1140
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5036
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:	405-271-8665

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	11/25/2025

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