Active NPI
William Joseph Baker MD PLLC
- Anesthesiology Physician
- Ada, OK
National Provider Identifier
1902936271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19914
- Legal business name
- WILLIAM JOSEPH BAKER MD PLLC
- Practice address
- 430 N Monte Vista St
Ada, OK 74820-4610 - Phone
- (580) 332-2323
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Daina Sue Baker, RN
- Title
- Practice Manager
- Phone
- (580) 272-9162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 19914 | OK | Primary |
Addresses
Primary practice location
430 N Monte Vista St
Ada, OK 74820-4610
Mailing address
PO Box 1884
Ada, OK 74821-1884
Phone (580) 272-9162
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100106440B | Medicaid | OK | |
| 443545529002 | Other | OK | BLUE CROSS BLUE SHIELD |
| 050084626 | Other | OK | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Ada, OK
- NPI 1538127675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1902936271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1884",
"city": "ADA",
"state": "OK",
"postal_code": "748211884",
"telephone_number": "580-272-9162",
"fax_number": "580-272-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204610",
"telephone_number": "580-332-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM JOSEPH BAKER MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "DAINA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "580-272-9162",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OK",
"license": "19914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100106440B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "443545529002",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050084626",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- 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.