NPI age
20 years
Enumerated 2005-11-16
● Active
Type 1 · Individual
Wallace C Baker, M.D.
Baker is 1 of 82 family medicine providers in Idaho Falls and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
1880 John Adams Pkwy
Idaho Falls, ID 834014315
Mailing address
1880 John Adams Pkwy
Idaho Falls, ID 834014315
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001770 | BLUE SHIELD PROVIDER NUMB |
| 01 (ID) | 000010027582 | BLUE SHIELD GROUP |
| 01 (ID) | 080097138 | RR MEDICARE |
| 01 (ID) | 8K123 | BLUE CROSS GROUP |
| 05 (ID) | 002796800 | |
| 01 (ID) | 266877 | DMBA |
| 01 (ID) | 1134140148 | BAKER FAMILY GROUP NPI |
| 01 (ID) | 72132 | IDAHO BLUE CROSS PROVIDER |
| 05 (ID) | 807937700 | |
| 01 (ID) | DE1614 | RR MEDICARE GRP |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.