George C Baker, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H7383 Issued in TX

Practice address

1615 Hospital Parkway
Suite 306
Bedford, TX 76022

Phone

(817) 684-5106

Fax

(817) 684-5120

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• George C Baker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043371917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PARKWAY",
            "address_2": "SUITE 306",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-684-5106",
            "fax_number": "817-684-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PARKWAY",
            "address_2": "SUITE 306",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-684-5106",
            "fax_number": "817-684-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H7383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "BAKER",
            "middle_name": "C",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mason W Badour
• Sydney Elaine Baer, SLPA
• Karanequa Latrice Bagnerise, LCSW
• Taylor Bailey
• Gwendolyn Kay Bain, LPC-S, LMFT
• Drew Bakken, RPH
• Priya Balakrishnan, P.A.-C.
• Kenneth Balinao
• Mavis Ball, LPC
• Ashley E Banda, PA-C

• Dermatology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.