Active NPI
Ben Fowler Baker, M.D.
- Ophthalmology Physician
- Bartlesville, OK
National Provider Identifier
1922003235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12625
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Medical Eye Group | Ophthalmology | Past | Accepting new patients |
| Bartlesville Surgery Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Bartlesville, OK
- NPI 1801084272
-
- Ambulatory Surgical Clinic/Center
- Bartlesville, OK
- NPI 1942276498
-
- Ophthalmology Physician
- Jenks, OK
- NPI 1902283229
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.