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JACK R. BAKER D.O. INC. NPI 1730372624


NPI Information

NPI: 1730372624
Provider Name: JACK R. BAKER, D.O., INC.

Other Name: JACK R. BAKER, D.O., INC.

Classification: Urology - 208800000X
Entity Type: Organization
Address:
4590 DRESSLER RD NW
CANTON, OH
ZIP 44718
Phone: (330) 492-5555
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JACK R. BAKER, D.O., INC. is an urology in Canton, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. JACK R. BAKER, D.O., INC. NPI is 1730372624. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jack R. Baker, D.o., Inc..

The provider's business location address is:

4590 DRESSLER RD NW
CANTON, OH
ZIP 44718-546
Phone: (330) 492-5555
Fax: (330) 492-7808

The provider's authorized official is Jack Ross Baker .
The authorized official title is President and has the following contact phone number (330) 493-5555.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 8/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology34-00-3232BOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CO2280MEDICARE UPINOHIO
20672884MEDICAIDOHIO
3BA0509465MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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