Individual provider Active NPI

Ben Fowler Baker, M.D.

  • Ophthalmology Physician
  • Bartlesville, OK
National Provider Identifier
1922003235
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12625 Issued in OK
Practice address
3400 E Frank Phillips Blvd
Ste 202
Bartlesville, OK 74006-2407
Phone
(918) 335-1515
Fax
(918) 331-2519
NPI assigned
Jun 15, 2005
Reactivated
Mar 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12625 OK Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Ste 202
Bartlesville, OK 74006-2407

Mailing address

3400 E Frank Phillips Blvd
Ste 202
Bartlesville, OK 74006-2407
Phone (918) 335-1515

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Medical Eye Group Ophthalmology PastSince Aug 1, 2017 Accepting new patients
Bartlesville Surgery Center, LLC PastSince Jan 1, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ben.baker@direct.stjohnhealthsystem.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922003235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "STE 202",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062407",
            "telephone_number": "918-335-1515",
            "fax_number": "918-331-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "STE 202",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062407",
            "telephone_number": "918-335-1515",
            "fax_number": "918-331-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BEN",
        "middle_name": "FOWLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-09",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "12625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.