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Deactivated NPI 1164514246 Deactivated / Inactive NPI Male Practitioner

Dr. Jerald F Baker , MD

Specialist • Sandpoint, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerald Baker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date April 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Baker, MD was a registered Specialist practicing in Sandpoint, ID. Throughout an active medical career spanning 20 years, Dr. Baker provided care at the practice location at 606 N 3RD AVE until profile deactivation on 2026-04-02.

Practice Location & Contact Primary Location

Practice Address

606 N 3rd Ave
Ste. 102

Sandpoint, ID 838641594

Telephone 2082651700
Fax 2082651750
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sandpoint, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Sandpoint, ID (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M3013

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christina Baker , LPC, NBCC

Counselor - Professional

NPI 1477885598

Licensed Professional Counselor, NBCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

NPI Profile Active November 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2012

Registered at 606 N 3RD AVE, STE. 102, SANDPOINT, ID 838641594 (Tel: 2082651700)

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Updated Business Mailing Address November 23, 2012

Registered at 606 N 3RD AVE, STE. 102, SANDPOINT, ID 838641594 (Tel: 2082651700)

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Provider Name / Credentials Updated November 23, 2012

Recorded as JERALD BAKER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2012

Specialist (License #M3013 in ID)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164514246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: November 23, 2012
Deactivation Date: April 02, 2026

Mailing Address

606 N 3rd Ave, Ste. 102

Sandpoint, ID 838641594

Phone: 2082651700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.