John W. Baker, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R-4060 Issued in AR

Legal business name

JOHN W. BAKER, MD, PA

Practice address

1 Lile CT Ste 103
Little Rock, AR 72205-6239

Phone

(501) 221-9175

Fax

(501) 221-9672

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Jones

Title

Clinic Manager

Phone

(501) 812-7216

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1972837615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056239",
            "telephone_number": "501-221-9175",
            "fax_number": "501-221-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056239",
            "telephone_number": "501-221-9175",
            "fax_number": "501-221-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. BAKER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "501-812-7216",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "R-4060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R-4090",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shenaye Johns

• Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.