Weston Baker, MD
Individual provider Active NPI Family Medicine Physician · Enterprise, OR
NPI 1023429883 · NPPES record last updated Apr 23, 2018
Key facts
- NPI
- 1023429883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- PG183919 (OR)
- Practice address
- 603 Medical Pkwy
Enterprise, OR 97828-5124 - Phone
- (541) 426-4502
- NPI assigned
- May 15, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wallowa County Health Care District
Winding Waters Medical Clinic
Practice addresses (Care Compare)
601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502
Hospital & facility affiliations
- Wallowa Memorial Hospital
- Grande Ronde Hospital
- Wallowa Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920002879 | OR | Practitioner - Family Practice | 5597982371 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PG183919 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winding Waters Medical Clinic | Current |
Accepting new patients | |
| Wallowa County Health Care District | Current |
Accepting new patients | |
| Wallowa County Health Care District | Family Medicine | Current |
Accepting new patients |
| Wallowa County Health Care District | Family Medicine | Current |
Accepting new patients |
| Winding Waters Medical Clinic | Current |
Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215
Interoperability endpoints
- wbaker138267@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | PG183919 | OR | Yes |
Addresses
Primary practice location
603 Medical Pkwy
Enterprise, OR 97828-5124
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8211
Other names
- Weston Fuhrman
Other providers in Enterprise, OR
- Alder Collective
- Johna Alford
- Josie Ambroson
- Alicia Danille Artison
- James Troy Bailey
- Ella Delanee Barber
- Jessica Barker
- Gale A Barton
- Josiah Bates
- Dolores Irene Beck
All providers in Enterprise, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.