Baker Medical, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Conway, AR
NPI 1366478562 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1366478562
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- MG00515 (AR)
- Legal business name
- BAKER MEDICAL, INC.
- Practice address
- 1014 Harkrider St
Suite 500
Conway, AR 72032-4404 - Phone
- (501) 932-0404
- Fax
- (501) 764-0505
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James R Baker, PHARM. D.
- Title
- Owner
- Phone
- (501) 932-0404
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 2
-
James R Baker, PHARM. D.
-
John Dale Baker, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baker Medical, Inc |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Seat Lift Mechanisms|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchai… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930068960 | AR | DME Supplier - Medical Supply Company |
3476767286 | Practice locations: Conway, AR |
National Provider Directory
- Tax ID family
- Baker Medical Inc
Locations
1014 Harkrider St
Ste 500
Conway, AR 72032
Phone (501) 932-0404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG00515 | AR | Yes |
Addresses
Primary practice location
1014 Harkrider St
Suite 500
Conway, AR 72032-4404
Mailing address
1014 Harkrider St
Suite 500
Conway, AR 72032-4404
Phone (501) 932-0404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148671716 | Medicaid | AR | |
| 49919 | Other | AR | ARKANSAS BLUE CROSS |
| C08480131 | Other | AR | EDI SUBMITTER ID |
Other names
- BAKER MEDICAL, INC.
Other providers in Conway, AR
- Payton Bailey
- Sydney Laine Bailey
- Baker Ambulatory Surgery Center
- Baker Drug Company
- Baker Eye Institute
- Ashlyn Grace Baker
- Candace Baker
- Dann Baker
- David Littleton Baker Jr.
- James R Baker
All providers in Conway, AR · Durable Medical Equipment & Medical Supplies in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.