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

Wallace C Baker, MD

Individual provider Family Medicine Physician · NPI 1083696967

Wallace C Baker, MD is a Family Practice in Idaho Falls, Idaho. Graduated from University of Utah School of Medicine in 1993, 33 years ago. Practices with Wallace C Baker, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
33
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2005
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

1880 John Adams Pkwy
Idaho Falls, ID 83401-4315
Phone: (208) 524-6633
Fax: (208) 524-9952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M2619 (ID)

Record details

NPI number1083696967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2005
Last updated in NPPESJuly 19, 2010
Mailing address1880 John Adams Pkwy, Idaho Falls, ID 83401-4315

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Wallace C Baker — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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