Jack Lee Baker, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

J2489 Issued in TX

Practice address

10912 East Fwy
Houston, TX 77029

Phone

(713) 451-2900

Fax

(713) 451-2103

NPI assigned

Aug 19, 2005

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jack L Baker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bay Colony MRI & Diagnsotic Center, LP

  • Multi-Specialty Clinic/Center
  • Dickinson, TX
  • NPI 1013083625
  NPD (past) Authorized official
• Alliance MRI Lake Houston, LLC

  • Radiology Clinic/Center
  • Humble, TX
  • NPI 1770953408
  NPD (past)
• Innovative Radiology PA

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1568400810
  NPD (past)
• US Imaging, Inc

  • Multi-Specialty Clinic/Center
  • Stafford, TX
  • NPI 1033485479
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1982696530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BLUEBONNET DR STE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772912",
            "telephone_number": "281-772-7749",
            "fax_number": "281-574-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77029",
            "telephone_number": "713-451-2900",
            "fax_number": "713-451-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JACK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2489",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "BAKER",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dudley D Baker IV, M.D.
• Elizabeth Eileen Baker
• Ellawyn Baker, PHARMD
• Elnora Yvonne Baker
• Ingrid Baker
• Jacqueline Jane Baker, NP
• James R. Baker, MD
• Jennifer Baker, MSN, RN AGPCNP-BC
• Kari Baker, M.S., CCC-SLP
• Kelly Baker, P.A.-C

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.