MEDICARE: DR. TIM Y. 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	207L00000X	Anesthesiology Physician	05301R	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	:	1932196979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIM Y. BAKER MD

Provider Business Mailing Address
First Line	:	PO BOX 61950
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70596-1950
Country	:	US
Telephone Number	:	337-261-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 SAINT PATRICK ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4500
Country	:	US
Telephone Number	:	337-261-5151
Fax Number	:

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	03/10/2008

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