Tracy M Baker, MD
Individual provider Active NPI Family Medicine Physician · Stigler, OK
NPI 1639101488 · NPPES record last updated Jan 2, 2014
Key facts
- NPI
- 1639101488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 26593 (OK)
- Practice address
- 1505 E Main St
Stigler, OK 74462-2913 - Phone
- (918) 967-3368
- Fax
- (917) 967-3351
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25080 | KS | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25080 | KS | |
| Family Medicine Physician | 207Q00000X | 26593 | OK | Yes |
Addresses
Primary practice location
1505 E Main St
Stigler, OK 74462-2913
Mailing address
PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-4560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16936 | Other | KS | COVENTRY |
| 4253 | Other | KS | PHS |
| 047743 | Other | KS | BCBS |
| 200205450A | Medicaid | OK | |
| 11001972 | Other | KS | MULTIPLAN |
| 100659 | Other | KS | HPK |
Other providers in Stigler, OK
- Winter Apple
- B Free Chiropractic
- Jessica Suzanne Bailey
- Bayleigh Bates
- Molly Rachel Black
- Misty Boatman
- Russell Boatman
- Jennifer Leigh Bond
All providers in Stigler, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2014. 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.