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

LBN: Paul J Baxley, M.D., P.A.
Paul J Baxley, M.D., P.A. is an health care organization with primary practice located at 1000 Highway 35 N Ste 8 , Benton AR 72019-2353. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Paul J Baxley, M.D., P.A. can be contacted via phone (501) 315-4008, or through Krticka, Jamie J via phone (501) 315-4008.

Contact Information

Primary practice address
1000 Highway 35 N Ste 8 Benton AR 72019-2353
Fax: (501) 315-3411
Website:
Authorized official contact:
Name: Krticka, Jamie J

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C4798 Arkansas

Profile Details

NPI number 1811020118
LBN Legal business name Paul J Baxley, M.D., P.A.
DBA Doing business as
Authorized official Krticka, Jamie J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated May 25th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811020118 NPPES
Arkansas MEDICAID 104490001
Arkansas Other 5G997
Arkansas Other 1164414462

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