PAUL J BAXLEY, M.D., P.A. (NPI# 1811020118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811020118 |
| Entity Type | Organization |
| Organization Name | PAUL J BAXLEY, M.D., P.A. |
| Practice Address |
1000 Highway 35 N Ste 8 Benton AR 72019-2353 |
| Mailing Address |
1000 Highway 35 N Ste 8 P. O. Box 2860 Benton AR 72019-2353 |
| Practice Telephone | 5013154008 |
| Practice Fax Number | 5013153411 |
| Mailing Telephone | 5013154008 |
| Mailing Fax Number | 5013153411 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | MRS. JAMIE J KRTICKA (OFFICE MANAGER) |
| Authorized Official Telephone | 5013154008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C4798 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | INDIV-NPI # | 1164414462 | 01 |
| AR | 104490001 | 05 | |
| AR | MEDICARE-GROUP | 5G997 | 01 |
| Street Address |
1000 HIGHWAY 35 N STE 8 |
| City | BENTON |
| State | AR |
| Zip Code | 72019-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457450827 | Lori D Mcbride | Nurse Practitioner | 1000 Highway 35 N Ste 8, Benton, AR 72019-2353 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1588798235 | Angie Russell | Specialist | 11167 Hwy 67, Benton, AR 72015 | 2007-03-15 |
| 1104959410 | Allan B. Hatch, M.d., P.a. | Specialist | 1000 Hwy 35 North, Suite 8, Benton, AR 72019 | 2007-03-14 |
| 1124124391 | Central Arkansas Womens Clinic P.a. | Specialist | 910 North East Street, Ste 206, Benton, AR 72015 | 2006-09-15 |
| 1023033859 | John V. Baka M.d.p.a | Specialist | 1220 Military Rd, Benton, AR 72015-2908 | 2006-07-13 |
| 1477510220 | Saline Heart Group, P.a. | Specialist | 1000 Hwy 35 N, Suite 8, Benton, AR 72019-2351 | 2006-04-26 |
| 1699774794 | Ophthalmology Associates of Benton, Pllc | Specialist | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2005-07-20 |
| 1720081607 | Michael J. Schmidt Md | Specialist | 5 Medical Park Place, Ste 308, Benton, AR 72015-3745 | 2005-05-24 |
| 1134419039 | Bonnie Witcher | Specialist | 3214 Winchester, Benton, AR 72015-2929 | 2011-04-12 |
| 1578867412 | Saline Heart Rehab and Dietary Services LLC | Specialist | 1000 Highway 35 N, Suite 9, Benton, AR 72019-2351 | 2011-01-07 |
| Find all providers in BENTON | ||||
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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.