Provider Demographics
NPI:1407989353
Name:BAKER, JOHN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SCOTT
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 668
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-0668
Mailing Address - Country:US
Mailing Address - Phone:828-526-1700
Mailing Address - Fax:828-787-2451
Practice Address - Street 1:479 SOUTH STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-2874
Practice Address - Country:US
Practice Address - Phone:828-526-1700
Practice Address - Fax:828-787-2451
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912721Medicaid
NC2221753AMedicare ID - Type Unspecified
NC8912721Medicaid
NC2221753BMedicare PIN