Lysle Baumgartner, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

35-022954 Issued in OH

Practice address

3400 Kenny Rd
Upper Arlington, OH 43221-1500

Phone

(614) 457-8158

Fax

(614) 457-9155

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard Baumgartner Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Behavioral Healthcare Partners of Central Ohio Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newark, OH
  • NPI 1063479079
  NPD (past)
• Moundbuilders Guidance Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, OH
  • NPI 1598723728
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164624508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 KENNY RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211500",
            "telephone_number": "614-457-8158",
            "fax_number": "614-457-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 KENNY RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211500",
            "telephone_number": "614-457-8158",
            "fax_number": "614-457-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "LYSLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OH",
            "license": "35-022954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "BAUMGARTNER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Barden
• Elizabeth Bariani
• William Dale Barker, MD
• Maria Barnett, DO
• Thomas Baughman, MD, JD
• Gregory Ernest Bellisari, MD
• Max Berk, OD
• Cassandra Bernard
• Samantha Bernhardt, RDN
• Bickford of Scioto, LLC

• All providers in Upper Arlington, OH
• Psychosomatic Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.