Provider Demographics
NPI:1982670873
Name:BAKER, STEVEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BAKER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511W. MARTIN L. KING BLVD,
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-879-7850
Mailing Address - Fax:813-870-3569
Practice Address - Street 1:2511W. MARTIN L. KING BLVD,
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-879-7850
Practice Address - Fax:813-870-3569
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1353213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10034701OtherCITURS HEALTHCARE
FLCG1740OtherRAILROAD MEDICARE
FL03844OtherWELLCARE
FL139350OtherPHCS
FL162337800OtherDEPT. OF LABOR
FL1395OtherOPTIMUM HEALTHCARE
FL206006OtherAV MED HEALTH
FL6201172OtherGHI
FL202708OtherAMERIGROUP
FL0674510001OtherMEDICARE DME
FL041263500Medicaid
FL041263500Medicaid
FL03844OtherWELLCARE
FLCG1740OtherRAILROAD MEDICARE