NPI 1053639484 · live from the CMS NPI Registry
Kevin Scott Baker, MD
Radiology, Diagnostic Radiology in Stony Brook, NY. National Provider Identifier 1053639484, active.
NPI record
| NPI | 1053639484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Hsc Level 4 Rm 120, Department Of Radiology, Stony Brook, NY 11794 |
| Practice phone | 631-444-5400 |
| Mailing address | Stony Brook Medicine Hsc Level 4 Rm 120, Department Of Radiology, Stony Brook, NY 11794 |
| Enumerated | May 10, 2010 |
| Last updated | January 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 277475 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 56282 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.