Provider Demographics
NPI:1215158928
Name:BAKER, ARTHUR M III (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:BAKER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 WATERS AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6268
Mailing Address - Country:US
Mailing Address - Phone:912-350-5970
Mailing Address - Fax:912-350-3374
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-5970
Practice Address - Fax:912-350-3374
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37169207VM0101X, 207VM0101X
GA065729207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003110197DMedicaid
GAP00955088OtherRAILROAD MEDICARE
GA003110197CMedicaid
GA003110197AMedicaid
GA613635OtherWELLCARE
SCGA1206Medicaid
01441252OtherAMERIGROUP
GA003110197BMedicaid
SCSC46147416Medicare PIN
GA202I167583Medicare PIN