Mary Ann Bauman, MD
Individual provider Active NPI Internal Medicine Physician · Oklahoma City, OK
NPI 1235170366 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1235170366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 17051 (OK)
- Practice address
- 3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4493 - Phone
- (405) 945-4787
- Fax
- (405) 945-4383
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17051 | OK | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17051 | OK | Yes |
Addresses
Primary practice location
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4493
Mailing address
5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 945-4787
Other providers in Oklahoma City, OK
- Jaime Moynihan Baum
- Riley Baum
- Brooke Bauman
- Jennifer Bauman
- Madison Bauman
- Baumann & Lanman Dentistry, PLLC
- Bryce Edward Baumann
- Robert E. Baumann
- Ottilie Aloise Baumgardner
- Tyelinda Baumgardner
All providers in Oklahoma City, OK · Internal Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.