Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Glenn Baker, MD

Individual provider Dermatology Physician · NPI 1447233754

Dr. Jonathan Glenn Baker, MD is a Dermatology in Jackson, Wyoming. Graduated from University of Missouri, Columbia School of Medicine in 1994, 32 years ago. Practices with Teton Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in California and Wyoming.

Years since qualifying
32
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
CA, WY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

984 W Broadway Ste 4
Jackson, WY 83001-0000
Phone: (307) 734-1800
Fax: (307) 734-5012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 8097A (WY)
Dermatology Physician Taxonomy 207N00000X · Licence A55560 (CA)

Record details

NPI number1447233754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESAugust 4, 2014
Mailing addressPo Box 14510, Jackson, WY 83002-4510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Teton Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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