Individual provider Active NPI

Joane Baumer, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1003805706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5802 Issued in TX
Practice address
1500 S Main St
Family Medicine Center
Fort Worth, TX 76104-4917
Phone
(817) 335-1034
NPI assigned
Oct 17, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5802 TX Primary

Addresses

Primary practice location

1500 S Main St
Family Medicine Center
Fort Worth, TX 76104-4917

Mailing address

PO Box 911294
Dallas, TX 75391-1294
Phone (817) 852-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, NH, RI, ME, CT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040422001427 TX Practitioner - Family Practice 0749276939 Reassigns benefits to 2 organizations
I20060109000189 MA Practitioner - Family PracticePractitioner - Diagnostic Radiology 0749276939 Reassigns benefits to 1 organization
I20140516000616 NH Practitioner - Family Practice 0749276939 Reassigns benefits to 1 organization
I20140528000129 RI Practitioner - Family Practice 0749276939 Reassigns benefits to 1 organization
I20160822000508 ME Practitioner - Family Practice 0749276939 Reassigns benefits to 1 organization
I20210927001454 CT Practitioner - Family Practice 0749276939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masstex Imaging, LLCGroup PAC ID 6709809585, 12 clinicians
Professional Imaging PLLCGroup PAC ID 7012975527, 25 clinicians

Practice addresses (Care Compare)

119 C Griswold St
Glastonbury, CT 06033-1097
Phone (800) 508-6277

1717 Rotary Dr
Humble, TX 77338-5235
Phone (281) 272-6277

254 Commercial St
Suite 245
Portland, ME 04101-4899
Phone (800) 508-6277

3 Electronics Ave
Suite 201
Danvers, MA 01923-1099
Phone (978) 750-0300

41 Liberty Hill Rd
BLDG 2
Henniker, NH 03242-6045
Phone (800) 508-6277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5802TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostex Consultants PLLC Family Medicine CurrentSince Aug 18, 2010 Accepting new patients
Masstex Imaging, LLC Family Medicine CurrentSince Nov 16, 2005 Accepting new patients
Professional Imaging, PLLC CurrentSince Nov 28, 2010 Accepting new patients
Louisiana Dysphagia Consultants, L.L.C. PastSince Jul 1, 2010 Accepting new patients
Patheous Medical PLLC Past Accepting new patients
Midwest Dysphagia Consultants, LLC Past Accepting new patients
Diagnostex, LLC PastSince Nov 3, 2003 Accepting new patients

Locations

119C Griswold St
Glastonbury, CT 06033
Phone (800) 508-6277

3 Electronics Ave
Ste 201
Danvers, MA 01923
Phone (978) 750-0300

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

93 Main St
South Portland, ME 04106
Phone (800) 508-6277

41 Liberty Hill Rd
Bldg 2
Henniker, NH 03242
Phone (603) 428-6611

555 N Main St
Providence, RI 02904
Phone (401) 206-5698

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2019 N Frazier St
Conroe, TX 77301
Phone (936) 441-2120

419 S Cockrell Hill Rd
Duncanville, TX 75116
Phone (410) 552-4800

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

4400 Gulf Ave
Groves, TX 77619
Phone (409) 962-5785

1717 Rotary Dr
Humble, TX 77338
Phone (817) 296-7282

500 Grapevine Hwy
Ste 106
Hurst, TX 76054
Phone (817) 514-6271

8913 Mid Cities Blvd
Ste 100
North Richland Hills, TX 76182
Phone (817) 514-6271

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003805706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911294",
            "telephone_number": "817-852-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "address_2": "FAMILY MEDICINE CENTER",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-335-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMER",
        "first_name": "JOANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.