BRENT WYATT BAKER (NPI# 1770774648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770774648 |
| Entity Type | Individual |
| Full Name | BRENT WYATT BAKER |
| Credential | PA-C |
| Practice Address |
1410 W Jefferson St Waxahachie TX 75165-2232 |
| Practice Telephone | 9729371210 |
| Practice Fax Number | 9729370243 |
| Mailing Telephone | 9729371210 |
| Mailing Fax Number | 9729370243 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA04634 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 217344504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312806 | Brent L Baker | Dentist | 2854 W 4700 S, Suite C, West Valley City, UT 84118-2102 | 2007-06-07 |
| 1003270968 | Brent Baker | Family Medicine | 444 Clinchfield St Ste 201, Kingsport, TN 37660-3863 | 2016-04-07 |
| 1356759187 | Brent Tyler Baker | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2014-07-24 |
| 1841400660 | Brent J.h. Baker | Radiology | 888 S King St, Honolulu, HI 96813-3009 | 2007-05-23 |
| 1609836774 | Brent T Baker | Specialist | 201 Park St, Bowling Green, KY 42101-1759 | 2006-03-24 |
| Street Address |
1410 W JEFFERSON ST |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003911959 | Richard Dana Redington | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2006-09-14 |
| 1639308836 | Christopher Michael Broadway | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2009-07-08 |
| 1760684203 | Richard D Redington Md Associated Family Practice Association | Family Medicine | 1410 W Jefferson St, Waxahachie, TX 75165-2232 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538486246 | Mdassistllc | Physician Assistant | 1626 W Highway 287 Business, 107, Waxahachie, TX 75165-4712 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on BRENT WYATT BAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.