Organization Active NPI

Robert Baker MD Mha PLLC

  • Neuro-ophthalmology Physician
  • Fayetteville, AR
National Provider Identifier
1255922290
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
Legal business name
ROBERT BAKER MD MHA PLLC
Practice address
2865 N Dorchester Dr
Fayetteville, AR 72703-3989
Phone
(859) 552-5458
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Baker
Title
Owner, MD
Phone
(859) 552-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0109X Primary

Addresses

Primary practice location

2865 N Dorchester Dr
Fayetteville, AR 72703-3989

Mailing address

2865 N Dorchester Dr
Fayetteville, AR 72703-3989

Other identifiers 1

IdentifierTypeStateIssuer
E13492OtherARLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1255922290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 N DORCHESTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N DORCHESTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033989",
            "telephone_number": "859-552-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BAKER MD MHA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "859-552-5458"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E13492",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.