Individual provider Active NPI

Stephen W Baker, MD

  • Internal Medicine Physician
  • Slidel, LA
National Provider Identifier
1013011303
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
321454 Issued in LA
Practice address
1051 Gause Blvd
Suite 230
Slidel, LA 70458
Phone
(985) 641-7577
Fax
(985) 643-0826
NPI assigned
Sep 8, 2006
Last updated
May 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 321454 LA Primary
Cardiovascular Disease Physician 207RC0000X 321454 LA
Medical Oncology Physician 207RX0202X 321454 LA
General Practice Physician 208D00000X 12640 MS

Addresses

Primary practice location

1051 Gause Blvd
Suite 230
Slidel, LA 70458

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4000

Other practice location 1

15444 Dedeaux Rd Ste B
Gulfport, MS 39503-2637
Phone (228) 832-9038

Other identifiers 2

IdentifierTypeStateIssuer
12640OtherMSSTATE LICENSE
0012038MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040505001201 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466440573 Reassigns benefits to 1 organization
I20210714002755 LA Practitioner - Cardiovascular Disease (Cardiology) 2466440573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1051 Gause Blvd
Slidell, LA 70458-2951
Phone (985) 641-7577

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
321454LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Clinic LLC General Practice CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Primary Care Medical Center of Gulfport, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Ochsner Clinic LLC General Practice Current Accepting new patients
Ochsner Mississippi, LLC Internal Medicine Current Accepting new patients
Ochsner Mississippi, LLC Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

1051 Gause Blvd
Ste 230
Slidell, LA 70458
Phone (985) 641-7577

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

14055 Seaway Rd
Gulfport, MS 39503
Phone (228) 868-5555

14055 Seaway Rd
#200
Gulfport, MS 39503
Phone (228) 832-9038

14055 Seaway Rd
#8187
Gulfport, MS 39503

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

15444 Dedeaux Rd
#B
Gulfport, MS 39503
Phone (228) 832-9038

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1013011303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 230",
            "city": "SLIDEL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-641-7577",
            "fax_number": "985-643-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15444 Dedeaux Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395032637",
            "country_code": "US",
            "telephone_number": "228-832-9038",
            "fax_number": "228-832-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "321454",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "321454",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "321454",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "12640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12640",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012038",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.