DR. JACK ROSS BAKER DO NPI 1982712899

NPI Information

NPI: 1982712899
Provider Name: DR. JACK ROSS BAKER, DO
Classification: Urology - 208800000X
Entity Type: Individual
Address:
4590 DRESSLER ROAD NW
CANTON, OH
ZIP 44718
Phone: (330) 492-5555
Get Directions

DR. Jack Ross Baker, DO 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. DR. Jack Ross Baker, DO NPI is 1982712899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

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

The enumeration date for this NPI number is 8/29/2006 and was last updated on 4/9/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		34003239B	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	BA0509465	MEDICARE ID-TYPE UNSPECIFIED
2	0672884	MEDICAID	OHIO
3	C02280	MEDICARE UPIN

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

NPI Synchronization or Removal

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