Glen Ray Baker Jr P S C

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

15090 Issued in KY

Legal business name

GLEN RAY BAKER JR P S C

Practice address

1007 Cumberland Falls Hwy
Corbin, KY 40701-2714

Phone

(606) 523-1553

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glen Ray Baker Jr., M.D.

Title

President

Phone

(606) 523-1553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1659544336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RAVENWOOD DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012172",
            "telephone_number": "606-523-1553",
            "fax_number": "606-523-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012714",
            "telephone_number": "606-523-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN RAY BAKER JR P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-523-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "15090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K Gilbert, PA-C
• Alwilda Gilliam, M ED, LPCA
• Kimberly Ann Gilliam, MA
• Alisha Nichole Gilreath, BS
• Madison Gipson
• Daniel Jason Goforth
• Courtney Renee Goins
• Helen Fay Goins, MA, LCADC
• Mark A. Golden, ARNP
• Phillip L. Goldston, NP

• Pulmonary Disease Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.