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JOHN V. BAKA M.D.P.A NPI 1023033859


NPI Information

NPI: 1023033859
Provider Name: JOHN V. BAKA M.D.P.A

Doing Business As: BENTON WOMEN'S CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 04D0971476

Address:
1220 MILITARY RD
BENTON, AR
ZIP 72015
Phone: (501) 778-1000
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JOHN V. BAKA M.D.P.A is a specialist in Benton, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JOHN V. BAKA M.D.P.A NPI is 1023033859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Benton Women's Clinic.

The provider's business location address is:

1220 MILITARY RD
BENTON, AR
ZIP 72015-908
Phone: (501) 778-1000
Fax: (501) 778-1010

The provider's authorized official is John Vincent Baka .
The authorized official title is Physician and has the following contact phone number (501) 778-1000.

The CLIA number assigned to this NPI record is 04D0971476 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistE0792ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G29099MEDICARE UPIN
25K157OTHERARKANSASBCBS
35K157MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
4137424002MEDICAIDARKANSAS
516839000000OTHERARKANSASQC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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