Active NPI
Murl Baker, M.D.
- Otolaryngology Physician
- Springdale, AR
National Provider Identifier
1528062494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C4449
- Practice address
- 601 W Maple Ave
Ste 213
Springdale, AR 72764-5397 - Phone
- (479) 750-2080
- Fax
- (479) 750-2082
- NPI assigned
- Jun 9, 2005
- Reactivated
- Mar 29, 2006
- Last updated
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | C4449 | AR | Primary |
Addresses
Primary practice location
601 W Maple Ave
Ste 213
Springdale, AR 72764-5397
Mailing address
601 W Maple Ave
Ste 213
Springdale, AR 72764-5397
Phone (479) 750-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106391001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4449 | AR | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1528062494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "STE 213",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645397",
"telephone_number": "479-750-2080",
"fax_number": "479-750-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "STE 213",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645397",
"telephone_number": "479-750-2080",
"fax_number": "479-750-2082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MURL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-03-17",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AR",
"license": "C4449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106391001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.