Matthew James Baker, D.O.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Wpafb, OH
NPI 1609181510 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1609181510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 926 (NE)
- Practice address
- 4881 Sugar Maple Dr
Wpafb, OH 45433-5529 - Phone
- (937) 257-6877
- Fax
- (937) 656-1192
- NPI assigned
- Aug 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 926 | NE | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 926 | NE | Yes |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone (937) 257-6877
Other providers in Wpafb, OH
- John Alan Arthur
- Robert Atisme
- Matthew Augusta
- Charity D Bailey
- Eric Joseph Bailey
- Sarah Baker
- Christian Edward Banasky
- Joel Tyler Basenback
- Elizabeth A. Batchelor
- Brian Christopher Bentele
All providers in Wpafb, OH · Child & Adolescent Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.