Paul J Baxley, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C4798 Issued in AR

Legal business name

PAUL J BAXLEY, M.D., P.A.

Practice address

1000 Highway 35 N Ste 8
Benton, AR 72019-2353

Phone

(501) 315-4008

Fax

(501) 315-3411

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie J Krticka

Title

Office Manager

Phone

(501) 315-4008

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan B Hatch, MD

  • Interventional Cardiology Physician
  • Benton, AR
  • NPI 1114919107
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1811020118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N STE 8",
            "address_2": "P. O. BOX 2860",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192353",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N STE 8",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192353",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J BAXLEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "KRTICKA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-315-4008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C4798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104490001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-GROUP",
            "identifier": "5G997",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV-NPI #",
            "identifier": "1164414462",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Patterson, RECOVERY ASSISTANT
• Maggie Patterson, RECOVERY ASSISTANT
• Morgan Taylor Patterson, BSN, RN, CPN
• Kristin Patton, MD
• Travis Patton
• Stephen Peairson Jr., LCSW
• Toccara Pearson
• Pediatric Nutrition Prov of Ar
• Pediatric Nutrition Provider of Ar
• Pediatric Nutrition Provider of Arkansas

• Specialist in Benton, AR
• Providers in Benton, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.