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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STACY BAKER, MD
1450 MATTHEWS TOWNSHIP PKWY
SUITE 450
MATTHEWS, NC28105-2387
 Phone: 704-384-8480
 Fax: 704-384-8481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STACY BAKER · (Female)

NPI Number 1528297611
Credentials MD
Entity Individual
Enumeration date 07/09/2009
Last updated 03/11/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
NC License # 2012-01201
NC Medicaid 5921383
SC Medicaid 317749
NC Medicare PIN NC8632A
SC Medicare PIN AA87395019
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    200 HAWTHORNE LANE BOX 33549
    CHARLOTTE, NC 28233
  • PRESBYTERIAN HOSPITAL MATTHEWS - (Acute Care)
    1500 MATTHEWS TWNSHP PRKWY BOX 3310
    MATTHEWS, NC 28106
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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