Organization Active NPI

Baker O & P Enterprises, Inc.

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1962013011
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BAKER O & P ENTERPRISES, INC.
Practice address
1819 Troup Hwy
Tyler, TX 75701-5870
Phone
(903) 592-5900
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Aaron Kratohvil
Title
VP of Finance, Controller
Phone
(615) 550-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1819 Troup Hwy
Tyler, TX 75701-5870

Mailing address

102 Woodmont Blvd Ste 400
Nashville, TN 37205-2287
Phone (615) 864-8790

National Provider Directory

National Provider Directory

Locations

1819 Troup Hwy
Tyler, TX 75701
Phone (903) 526-2718

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1962013011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052287",
            "telephone_number": "615-864-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015870",
            "telephone_number": "903-592-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER O & P ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "KRATOHVIL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "VP OF FINANCE, CONTROLLER",
        "authorized_official_telephone_number": "615-550-8760"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.