Evelynn R Baker, M.D.

Individual provider Active NPI Pediatrics Physician · Knoxville, TN

NPI 1811086267 · NPPES record last updated Jul 17, 2023

Key facts

NPI
1811086267
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
35291 (TN)
Practice address
100 Tech Center Dr
Knoxville, TN 37912-2728
Phone
(865) 687-2000
Fax
(865) 687-6775
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35291TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Central Pediatrics, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35291 TN Yes

Addresses

Primary practice location

100 Tech Center Dr
Knoxville, TN 37912-2728

Mailing address

100 Tech Center Dr
Knoxville, TN 37912-2728
Phone (865) 687-2000

Other providers in Knoxville, TN

All providers in Knoxville, TN · Pediatrics Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.