| Mrs Sally Jo Baker, CRNA | |
|
2900 First Avenue, Huntington, WV 25702-1241 | |
| (304) 526-1031 | |
| Not Available |
| Full Name | Mrs Sally Jo Baker |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2900 First Avenue, Huntington, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679645709 | NPI | - | NPPES |
| 55-0696369-00 | Other | WV | WV WORKERS COMP # |
| 001710226 | Other | WV | W.V. BLUE CROSS PROVIDER |
| 0068000000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 43588 (West Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 04994 (Ohio) | Secondary |
| Entity Name | Cabell Huntington Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275576373 PECOS PAC ID: 3274436340 Enrollment ID: O20040128000461 |
| Entity Name | River Cities Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699845164 PECOS PAC ID: 6002707015 Enrollment ID: O20040322000089 |
| Entity Name | Northstar Anesthesia Of West Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322 |
| Entity Name | Oasis Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720470792 PECOS PAC ID: 5597063834 Enrollment ID: O20180917000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sally Jo Baker, CRNA Po Box 515, Barboursville, WV 25504-0515 Ph: (304) 736-6126 | Mrs Sally Jo Baker, CRNA 2900 First Avenue, Huntington, WV 25702-1241 Ph: (304) 526-1031 |
Lora Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 | |
Cindy L Childers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 205-322-1808 Fax: 205-322-1851 | |
Mr. William D Howell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1031 | |
Lisa R Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-399-2960 | |
Mrs. Carol Elaine Porter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Ave, Suite 6019, Huntington, WV 25702 Phone: 304-399-0137 Fax: 304-399-0138 | |
Jamie H Vance, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1234 | |
Thressa Pemberton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000 |