Active NPI
Alicia Baum, M.D.
- Procedural Dermatology Physician
- North Huntingdon, PA
National Provider Identifier
1265439772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- MD019988E
- Practice address
- 8700 Pennsylvania Ave
North Huntingdon, PA 15642-2762 - Phone
- (724) 863-7530
- Fax
- (724) 863-8213
- NPI assigned
- Jun 30, 2005
- Last updated
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | MD019988E | PA | Primary |
Addresses
Primary practice location
8700 Pennsylvania Ave
North Huntingdon, PA 15642-2762
Mailing address
8700 Pennsylvania Ave
North Huntingdon, PA 15642-2762
Phone (724) 863-7530
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000048869 | Other | PA | HIGHMARK BLUE SHIELD |
| 0007298300001 | Medicaid | PA | |
| 45688 | Other | PA | HEALTH AMERICA/ASSURANCE |
| 534192 | Other | PA | AETNA |
| 66358 | Other | PA | MEDPLUS |
| 1010403 | Other | PA | GATEWAY HEALTH PLAN |
| 204024 | Other | PA | UPMC HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019988E | PA | MD | Procedural Dermatology Physician |
Interoperability endpoints
- abaum@direct.excelahealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1265439772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 PENNSYLVANIA AVE",
"city": "NORTH HUNTINGDON",
"state": "PA",
"postal_code": "156422762",
"telephone_number": "724-863-7530",
"fax_number": "724-863-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 PENNSYLVANIA AVE",
"city": "NORTH HUNTINGDON",
"state": "PA",
"postal_code": "156422762",
"telephone_number": "724-863-7530",
"fax_number": "724-863-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "PA",
"license": "MD019988E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000048869",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007298300001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/ASSURANCE",
"identifier": "45688",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "534192",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDPLUS",
"identifier": "66358",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1010403",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLANS",
"identifier": "204024",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.