Provider Demographics
NPI:1518308501
Name:J SCOTT BAKER, M.D.
Entity Type:Organization
Organization Name:J SCOTT BAKER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-526-1700
Mailing Address - Street 1:209 HOSPITAL DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7623
Mailing Address - Country:US
Mailing Address - Phone:828-526-1700
Mailing Address - Fax:828-787-2451
Practice Address - Street 1:209 HOSPITAL DR
Practice Address - Street 2:SUITE 304
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7623
Practice Address - Country:US
Practice Address - Phone:828-526-1700
Practice Address - Fax:828-787-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912721Medicaid
NC8912721Medicaid