NPIMap

Individual provider Active NPI

Sean Blair Baker, D.O.

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1508060641
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5501 Issued in AR
Practice address
7800 Dallas St
Fort Smith, AR 72903-4278
Phone
(479) 259-9286
NPI assigned
Jun 13, 2007
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5501 AR Primary

Addresses

Primary practice location

7800 Dallas St
Fort Smith, AR 72903-4278

Mailing address

3700 Cliff Dr
Fort Smith, AR 72903-5954
Phone (479) 259-9286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080827000722 AR Practitioner - Family PracticePractitioner - Endocrinology 0648346692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

7800 Dallas St
Fort Smith, AR 72903-4278
Phone (479) 221-9999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 29, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 23, 2008 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 23, 2008 Accepting new patients
St Edward Medical Services, Inc. Past Accepting new patients

Locations

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

3700 Cliff Dr
Fort Smith, AR 72903
Phone (479) 259-9286

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7800 Dallas St
Fort Smith, AR 72903
Phone (479) 259-9286

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2800 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 314-4000

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Interoperability endpoints

  • Direct secure messaging: sbaker124853@directb.mercy.net
  • Direct secure messaging: sbaker134877@directc.mercy.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1508060641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CLIFF DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035954",
            "telephone_number": "479-259-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034278",
            "telephone_number": "479-259-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SEAN",
        "middle_name": "BLAIR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.