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

Dr. Ryan L Baker, MD

Individual provider Family Medicine Physician · NPI 1164650974

Dr. Ryan L Baker, MD is a Family Practice in St Petersburg, Florida. Qualified in 2009, 17 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
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

2299 9th Ave N Ste 1A
St Petersburg, FL 33713-6851
Phone: (727) 655-9854
Fax: (727) 592-2194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 75th St W, Bradenton, FL 34209 — (941) 761-1616

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME113210 (FL)

Record details

NPI number1164650974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2009
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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