Provider Demographics
NPI:1457513202
Name:BAKER, DONALD EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EARL
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1860 CHADWICK DR
Mailing Address - Street 2:SUITE 150A
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-3463
Mailing Address - Country:US
Mailing Address - Phone:601-376-2818
Mailing Address - Fax:601-376-2813
Practice Address - Street 1:1860 CHADWICK DR
Practice Address - Street 2:SUITE 150A
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-3463
Practice Address - Country:US
Practice Address - Phone:601-376-2818
Practice Address - Fax:601-376-2813
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL32296207X00000X
MS23455207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery