Jay Scott Baker, M.D.
Individual provider Active NPI Emergency Medicine Physician · Ballwin, MO
NPI 1376944496 · NPPES record last updated Sep 8, 2014
Key facts
- NPI
- 1376944496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R4541 (MO)
- Practice address
- 8 Foxcliff CT
Ballwin, MO 63011-4233 - Phone
- (636) 394-9353
- Fax
- (636) 394-9353
- NPI assigned
- Sep 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4541 | MO | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R4541 | MO | Yes |
Addresses
Primary practice location
8 Foxcliff CT
Ballwin, MO 63011-4233
Mailing address
8 Foxcliff CT
Ballwin, MO 63011-4233
Phone (636) 394-9353
Other providers in Ballwin, MO
- Athletico LTD
- Danielle Alexandria Austin
- Axes Physical Therapy, LLC
- Jill Ann Baechle
- Cari R Bailey Smith
- Rebecca J Baker
- Cynthia Renee Ballentine
- Ballwin Chiropractic Center, PC
- Ballwin Family Smiles, PLLC
- Ballwin Health Care LLC
All providers in Ballwin, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.