NPI
Jonathan Glenn Baker
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2005-11-22
- Last updated
- 2014-08-04
Specialties
Licenses
- License WY
- 8097A
- License CA
- A55560
Location
- Practice location
- 984 West Broadway, Suite 4
- City
- Jackson WY
- Postal code
- 83001-0000
- Phone
- (307) 734-1800
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jackson, WY. 810 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.