Dr Misty D Baker

Primary specialty

PodiatristTaxonomy code 213E00000X

License

L1758 Issued in TX

Legal business name

DR MISTY D BAKER

Practice address

2840 Bill Owens Pkwy
Suite a
Longview, TX 75605-2150

Phone

(903) 753-3668

Fax

(903) 753-3671

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Misty D Baker, D.P.M.

Title

Podiatrist

Phone

(903) 753-3668

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• The Foot Doctor Doing business as

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1306063169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 BILL OWENS PKWY",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052150",
            "telephone_number": "903-753-3668",
            "fax_number": "903-753-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 BILL OWENS PKWY",
            "address_2": "SUITE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052150",
            "telephone_number": "903-753-3668",
            "fax_number": "903-753-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MISTY D BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "903-753-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "L1758",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "L1758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG5248",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189758901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0011RL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Longview, TX
• Providers in Longview, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.