| Shane Arthur Baker, MD | |
|
1303 N Main St, Cedar City, UT 84721 | |
| (435) 868-5000 | |
| Not Available |
| Full Name | Shane Arthur Baker |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1303 N Main St, Cedar City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538273859 | NPI | - | NPPES |
| 200132910 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 308374-1205 (Utah) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01051615A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Upson Regional Medical Center | Thomaston, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20140127000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Arthur Baker, MD Po Box 629, Ogden, UT 84402-0629 Ph: (801) 621-6671 | Shane Arthur Baker, MD 1303 N Main St, Cedar City, UT 84721 Ph: (435) 868-5000 |
Dr. Colby Scott Engar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84721 Phone: 435-868-5300 | |
Tiffiny Hunsaker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84721 Phone: 435-868-5300 |