Jimmy Mack Baker in Santa Maria - Internal Medicine
Jimmy Mack Baker - NPI 1912054487
Jimmy Mack Baker is a Internal Medicine in Santa Maria, California. Jimmy Mack Baker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jimmy Mack Baker is 1912054487. The last update date is 2021-06-18.
Jimmy Mack Baker's current location address is 2801 Santa Maria Way, Santa Maria, California. You can contact this provider via phone number 8059345400 and fax number 8059389207. The mailing address for Jimmy Mack Baker is 2801 Santa Maria Way, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jimmy Mack Baker |
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Address | 2801 Santa Maria Way, Santa Maria, California |
Phone Number | 8059345400 |
Fax Number | 8059389207 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1912054487 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2021-06-18 |
Provider Mailing Address Detail
Address | 2801 Santa Maria Way |
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City | Santa Maria |
State | California (CA) |
Post Code | 934552118 |
Phone Number | 8059345400 |
Fax Number | 8059389207 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | A44906 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Jimmy Mack Baker by the Centers for Medicare & Medicaid Services (CMS)?
The Jimmy Mack Baker has been assigned the NPI (National Provider Identifier) 1912054487. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jimmy Mack Baker's physical address?
The Jimmy Mack Baker is physically located at 2801 Santa Maria Way, in the city of Santa Maria, CA, with the postal code 934552118.
What is Jimmy Mack Baker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jimmy Mack Baker's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Jimmy Mack Baker receive its 1912054487 assignment from the Centers for Medicare & Medicaid Services?
The Jimmy Mack Baker was assigned its 1912054487 by the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information related to Jimmy Mack Baker most recently updated or refreshed?
The details pertaining to the Jimmy Mack Baker, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-18.