Wallace C Baker in Idaho Falls - Family Medicine
Wallace C Baker - NPI 1083696967
Wallace C Baker is a Family Medicine in Idaho Falls, Idaho. Wallace C Baker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wallace C Baker is 1083696967. The last update date is 2010-07-19.
Wallace C Baker's current location address is 1880 John Adams Pkwy, Idaho Falls, Idaho. You can contact this provider via phone number 2085246633 and fax number 2085249952. The mailing address for Wallace C Baker is 1880 John Adams Pkwy, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace C Baker |
|---|---|
| Address | 1880 John Adams Pkwy, Idaho Falls, Idaho |
| Phone Number | 2085246633 |
| Fax Number | 2085249952 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083696967 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2010-07-19 |
Provider Mailing Address Detail
| Address | 1880 John Adams Pkwy |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834014315 |
| Phone Number | 2085246633 |
| Fax Number | 2085249952 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M2619 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10001770 | ID | BLUE SHIELD PROVIDER NUMB | |
| 10027582 | ID | BLUE SHIELD GROUP | |
| 80097138 | ID | RR MEDICARE | |
| 8K123 | ID | BLUE CROSS GROUP | |
| 2796800 | ID | -- | |
| 266877 | ID | DMBA | |
| 1134140148 | ID | BAKER FAMILY GROUP NPI | |
| 72132 | ID | IDAHO BLUE CROSS PROVIDER | |
| 807937700 | ID | -- | |
| DE1614 | ID | RR MEDICARE GRP |
Post Comment/ Review Below
What is the unique identifier code issued to Wallace C Baker by the Centers for Medicare & Medicaid Services (CMS)?
The Wallace C Baker has been assigned the NPI (National Provider Identifier) 1083696967. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Wallace C Baker?
The Wallace C Baker is situated at 1880 John Adams Pkwy, in the city of Idaho Falls, state of ID, with the zip code 834014315.
What is Wallace C Baker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace C Baker is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Wallace C Baker receive its 1083696967 assignment from the Centers for Medicare & Medicaid Services?
The Wallace C Baker was assigned its 1083696967 on 2005-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wallace C Baker last refreshed?
The information related to the Wallace C Baker, including its address, specialty, and other relevant details, was last updated on 2010-07-19.