BAKER MEDICAL, INC. (NPI# 1366478562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366478562 |
| Entity Type | Organization |
| Organization Name | BAKER MEDICAL, INC. |
| Other Organization Name | BAKER MEDICAL, INC. |
| Practice Address |
1014 Harkrider St Suite 500 Conway AR 72032-4404 |
| Practice Telephone | 5019320404 |
| Practice Fax Number | 5017640505 |
| Mailing Telephone | 5019320404 |
| Mailing Fax Number | 5017640505 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MR. JAMES R BAKER (OWNER) |
| Authorized Official Telephone | 5019320404 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MG00515 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 148671716 | 05 | |
| AR | EDI SUBMITTER ID | C08480131 | 01 |
| AR | ARKANSAS BLUE CROSS | 49919 | 01 |
| Other Name | Type Code |
|---|---|
| BAKER MEDICAL, INC. | Doing Business As Name - Organization |
| Street Address |
1014 HARKRIDER ST SUITE 500 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754477 | James Bishop Russell | Plastic Surgery | 1014 Harkrider St, Suite 3, Conway, AR 72032 | 2005-07-20 |
| 1477915593 | John Marshall Sexson | Physician Assistant | 1014 Harkrider St, Conway, AR 72032-4404 | 2016-03-28 |
| 1518335587 | Hannah Perez | Nurse Practitioner | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2015-09-09 |
| 1316338684 | Alexandra Savenka | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2015-02-09 |
| 1801211966 | Kathryn Speights | Physician Assistant | 1014 Harkrider St, Ste B, Conway, AR 72032-4404 | 2014-02-26 |
| 1831526615 | Ashley Allen | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2013-10-11 |
| 1760720155 | Staci Carol Daily | Physician Assistant | 1014 Harkrider St, Ste B, Conway, AR 72032-4404 | 2013-01-21 |
| 1225323595 | Latrisha A Hall | Family Medicine | 1014 Harkrider St, Ste B, Conway, AR 72032-4404 | 2011-06-15 |
| 1871755421 | Pcmc-conway Pa | Family Medicine | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2008-06-25 |
| 1033329701 | Leah Maranda Martin | Nurse Practitioner | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073088068 | Arkansas Surgical Hospital, LLC | Durable Medical Equipment & Medical Supplies | 605 Dave Ward Dr Ste 104, Conway, AR 72034-7138 | 2018-10-05 |
| 1346765401 | Sleep Management Services Dme | Durable Medical Equipment & Medical Supplies | 5 Medical Ln Ste Candd, Conway, AR 72034-4912 | 2017-08-10 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| 1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
| 1164763157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2550 Prince St, Conway, AR 72034-3756 | 2013-03-15 |
| 1528331576 | Joint Technology Inc. | Durable Medical Equipment & Medical Supplies | 825 Parkway St, Execuplex Office Center Suite #7, Conway, AR 72034-5342 | 2012-02-21 |
| 1275868176 | Carolina Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3152 W Highway 501, Conway, SC 29526-4411 | 2009-10-09 |
| 1396978524 | Causey Medical Supply | Durable Medical Equipment & Medical Supplies | 3892 2nd Loop Rd, Conway, SC 29526-4602 | 2009-09-04 |
| 1396988291 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 151 Myrtle Ridge Dr, Conway, SC 29526-2702 | 2009-04-08 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.