Provider Demographics
NPI:1538316757
Name:BAKER MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:BAKER MEDICAL SERVICES INC.
Other - Org Name:BAKER FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-855-4400
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:NEON
Mailing Address - State:KY
Mailing Address - Zip Code:41840-0517
Mailing Address - Country:US
Mailing Address - Phone:606-855-4400
Mailing Address - Fax:
Practice Address - Street 1:37 HIGHWAY 343
Practice Address - Street 2:
Practice Address - City:NEON
Practice Address - State:KY
Practice Address - Zip Code:41840
Practice Address - Country:US
Practice Address - Phone:606-855-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1557101Medicare PIN
KYF48808Medicare UPIN