NPIMap

Organization Active NPI

Terry Baker, M.D.P.a.

  • Otolaryngology Physician
  • Idaho Falls, ID
National Provider Identifier
1649305186
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M-8221 Issued in ID
Legal business name
TERRY BAKER, M.D.P.A.
Practice address
3200 Channing Way
Ste. a-105
Idaho Falls, ID 83404-7546
Phone
(208) 552-9530
Fax
(208) 522-6262
NPI assigned
Feb 23, 2007
Organization subpart
Yes
Parent organization
TERRY BAKER, MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Terry Baker, M.D.NPI 1568406148
Title
Physician
Phone
(208) 552-9530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X M-8221 ID Primary

Addresses

Primary practice location

3200 Channing Way
Ste. a-105
Idaho Falls, ID 83404-7546

Mailing address

3200 Channing Way
Ste. a-105
Idaho Falls, ID 83404-7546
Phone (208) 552-9530

National Provider Directory

National Provider Directory
Part of
Terry R Baker MD

Locations

3200 Channing Way
Ste A105
Idaho Falls, ID 83404
Phone (208) 552-9530

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1649305186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY",
            "address_2": "STE. A-105",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-552-9530",
            "fax_number": "208-522-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CHANNING WAY",
            "address_2": "STE. A-105",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047546",
            "telephone_number": "208-552-9530",
            "fax_number": "208-522-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY BAKER, M.D.P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERRY BAKER, MDPA",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-552-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "M-8221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.