NPIMap

Organization Active NPI

S. Baker & Associates, LLC

  • Phlebology Physician
  • Winston Salem, NC
National Provider Identifier
1508021429
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
34813 Issued in NC
Legal business name
S. BAKER & ASSOCIATES, LLC
Practice address
3318 Healy Dr
Winston Salem, NC 27103-1404
Phone
(336) 768-3530
Fax
(336) 768-1329
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Scott W. Baker, MD
Title
Cao
Phone
(336) 768-3530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 34813 NC Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 34813 NC

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 4

IdentifierTypeStateIssuer
2163150COtherMEDICARE INDIVIDUAL
8912745MedicaidNC
13217OtherNCBSBCNC
P00185717OtherRR MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1508021429",
    "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": {
        "organization_name": "S. BAKER & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "336-768-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "NC",
            "license": "34813",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "34813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "2163150C",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912745",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBCNC",
            "identifier": "13217",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00185717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.