Individual provider Active NPI

Scott William Baker, M.D.

  • Phlebology Physician
  • Winston Salem, NC
National Provider Identifier
1104884279
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
34813 Issued in NC
Practice address
3318 Healy Dr
Winston Salem, NC 27103-1404
Phone
(336) 768-3530
Fax
(336) 768-1329
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00-34813 NC
Interventional Pain Medicine Physician 208VP0014X 34813 NC
Phlebology Physician 202K00000X 34813 NC Primary

Addresses

Primary practice location

3318 Healy Dr
Winston Salem, NC 27103-1404

Mailing address

3318 Healy Dr
Winston Salem, NC 27103-1404
Phone (336) 768-3530

Other identifiers 3

IdentifierTypeStateIssuer
I 0004366748OtherAETNA
P00185717OtherNCRR MEDICARE
8912745MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000968 NC Practitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Anesthesiology 0244127926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: Anesthesiology, Vascular Surgery
Education
University of Rochester School of Medicine and Dentistry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3318 Healy Dr
Winston Salem, NC 27103-1404
Phone (336) 768-3530

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00-34813NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Community Physicians PC Phlebology CurrentSince Oct 1, 2003 Accepting new patients
Piedmont Community Physicians PC Phlebology CurrentSince Oct 1, 2003 Accepting new patients
Piedmont Community Physicians PC Phlebology Current Accepting new patients

Locations

105 S Main St
Marion, NC 28752
Phone (828) 652-7086

402 S Sterling St
Morganton, NC 28655
Phone (828) 433-8343

3318 Healy Dr
#0
Winston Salem, NC 27103

3318 Healy Dr
Winston Salem, NC 27103
Phone (336) 768-3530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEACBA/Endpoint/HEACBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1104884279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031404",
            "telephone_number": "336-768-3530",
            "fax_number": "336-768-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031404",
            "telephone_number": "336-768-3530",
            "fax_number": "336-768-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "00-34813",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "34813",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NC",
            "license": "34813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "I 0004366748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00185717",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912745",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.