IndividualActive
Carl Baker, DO
NPI 1962499004 · Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1962499004
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 17205 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 221-8411
Approximate (ZIP-level) locationGet directions
Mailing address
510 E Stoner Ave
Shreveport, LA 71101-4243
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.