Eileen T Baker, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Palestine, TX
NPI 1922044593 · NPPES record last updated Jul 8, 2009
Key facts
- NPI
- 1922044593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 254696 (TX)
- Practice address
- 4002 S Loop 256
Suite N
Palestine, TX 75801-8491 - Phone
- (903) 677-1000
- Fax
- (903) 677-5586
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36589 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfport Anesthesia Services, P.a. | Past | Accepting new patients | |
| Thomas Arthur Halling | Past | Accepting new patients | |
| Limestone County Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gulfport Outpatient Anesthesia, P.a. | Past | Accepting new patients | |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients | |
| E T Baker Anesthesia Service PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R869233 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 254696 | TX | Yes |
Addresses
Primary practice location
4002 S Loop 256
Suite N
Palestine, TX 75801-8491
Mailing address
PO Box 1849
Palestine, TX 75802-1849
Phone (903) 677-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89762U | Other | TX | BLUECROSS BLUE SHIELD |
| 01674381 | Medicaid | MS | |
| 130162413 | Medicaid | TX |
Other providers in Palestine, TX
- Athens Emergency Medicine Associates PA
- Darius Sofo Atoliya
- Catherine Larmley Baah
- Lewlyn Francis Badger
- Michael Perry Bailey
- Scott Barkouskie
- John William Barnes
- Susan A Barrows
- Kehinde Olawale Bashua
- Alexandria Bass
All providers in Palestine, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.