Organization
S. BAKER & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W. BAKER MD (CAO)
(336) 768-3530
Entity
Organization
Contact information
Practice address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-1329
Mailing address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-1329
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
34813
NC
207L00000X
Anesthesiology Physician
34813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13217
BSBCNC
NC
01
—
2163150C
MEDICARE INDIVIDUAL
—
05
—
8912745
—
NC
01
—
P00185717
RR MEDICARE
—
Enumeration date
07/21/2008
Last updated
09/17/2014
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