John A Baker
Internist Geriatric Medicine
775 Pole Line Rd W Suite 302
Twin Falls
, Idaho 83301-5814
John A Baker
Internist Geriatric Medicine
775 Pole Line Rd W Suite 302
Twin Falls
, Idaho 83301-5814
(208) 814-7491
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- John A Baker
- Po Box 587
- Twin Falls, ID
- Zip : 83303-0587
- Fax : (208) 814-7491
- Phone : (208) 814-7400
Second Address
- John A Baker
- 775 Pole Line Rd W Suite 302
- Twin Falls, ID
- Zip : 83301-5814
- Fax : (208) 814-8942
- Phone : (208) 814-8600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | M8866 | ID |
| Y | 111NI0900X | Internist | M8866 | ID |
| N | 207RG0300X | Geriatric Medicine | M8866 | ID |
National Provider Identifier
| NPI | 1124061262 |
|---|---|
| Provider Name | John A Baker |
| First Address | Twin Falls, ID 83303-0587 |
| Second Address | Twin Falls, ID 83301-5814 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 04/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 806703100 | (05) | ID |
| D44780 | (02) | ID |
| P00095566 | RR MEDICARE (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.