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Contact Information

RYAN D BAKER, DO
100 MERCY WAY
JOPLIN, MO64804-4524
 Phone: 417-781-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RYAN D BAKER · (Male)

NPI Number 1194081620
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/10/2012
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2024027910
  • OK License # 6083
  • Other STUDENT STUDENT
Hospital affiliation(s)
  • ST JOHN BROKEN ARROW - (Acute Care)
    1000 WEST BOISE CIRCLE
    BROKEN ARROW, OK 74012
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
  • ST JOHN OWASSO - (Acute Care)
    12451 EAST 100TH STREET NORTH
    OWASSO, OK 74055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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