NPIMap

Individual provider Active NPI

Brian Baker, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1922459015
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0173R Issued in OK
Practice address
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Phone
(405) 636-7195
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0173R OK Primary

Addresses

Primary practice location

4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223

Mailing address

4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828001317 OK Practitioner - Emergency Medicine 0941572895 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

Practice addresses (Care Compare)

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Community Hospital - Council Crossing Hospital, Oklahoma City, OK, CCN 370240
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0173ROKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Aug 1, 2017 Accepting new patients
Farmers Union Hospital Association CurrentSince Aug 1, 2017 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Dec 4, 2017 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Grady Memorial Hospital Current Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Dec 4, 2017 Accepting new patients
Grady Memorial Hospital CurrentSince Feb 1, 2018 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Dec 4, 2017 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1922459015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE",
            "address_2": "SUITE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE",
            "address_2": "SUITE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093223",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0173R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.