Basic Information
| Provider Information | |||||||||
| NPI: | 1033202288 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKER | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4601 ABERCORNE TER | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402416145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028973241 | ||||||||
| FaxNumber: | 5029693799 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 E CHESTNUT ST DEPT 3R | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402021831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5026297181 | ||||||||
| FaxNumber: | 5026296957 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 02/28/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 21175 | KY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 100004200 | 05 | IN | MEDICAID | 50022679 | 01 | KY | PASSPORT - WS | OTHER | 000023035R | 01 | KY | HUMANA - WS | OTHER | 103689 | 01 | KY | SIHO - WS | OTHER | 00533116 | 01 | KY | MEDICARE KY - WS | OTHER | 1069145 | 01 | KY | PASSPORT | OTHER | 3698416000 | 01 | KY | PASSPORT ADVTG - WS | OTHER | 64211758 | 05 | KY | MEDICAID | 1033202288 | 01 | KY | RAILROAD MEDICARE | OTHER | 000000605980 | 01 | KY | ANTHEM - WS | OTHER | 2537857 | 01 | KY | CIGNA - WS | OTHER |