Individual
DR. JAY P BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36747
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
36747
MO
208D00000X
General Practice Physician
Primary
36747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243677937
—
MO
01
—
P00189701
RR MEDICARE
—
Enumeration date
06/23/2005
Last updated
01/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us