Wallace Bakers Mid-Level Group
NPI 1639370810ActiveOrganization· Physician Assistant, Medical· Idaho Falls, ID
Physician Assistant, Medical in Idaho Falls, Idaho, registered in NPPES in May 2007. The authorized official on file is Wallace Coleman Baker, MD, Ceo.
Overview
| NPI | 1639370810 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | M6919 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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