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Individual
DR. THOMAS ROBERT BAEKER
Active
Individual
DR. THOMAS ROBERT BAEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
207RH0003X
KY
207RH0003X
Hematology & Oncology Physician
Primary
28455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000051069
ANTHEM BC/BS
KY
01
—
023379600
FEDERAL BLACK LUNG
KY
01
—
1066562
PASSPORT
KY
01
—
110109119
RAILROAD MEDICARE
KY
01
—
4242445
AETNA
KY
01
—
611277847
CHA
KY
05
—
64284557
—
KY
01
—
87107
COVENTRYCARES OF KENTUCKY
KY
01
—
A13422
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
06/16/2005
Last updated
11/04/2011
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