Joseph Baum, MD
Individual provider Active NPI Internal Medicine Physician · Canton, OH
NPI 1346701976 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1346701976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 1346701976 (OH)
- Practice address
- 626 34TH St NW
Canton, OH 44709-2943 - Phone
- (330) 417-9171
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bethany Medical Center Inc
Practice addresses (Care Compare)
626 34TH St NW
Canton, OH 44709-2943
Phone (330) 492-7171
Hospital & facility affiliations
- Crossroads Hospice of Northeast Ohio, LLC
- Aultman Hospice
- Mercy Medical Center
- Aultman Hospital
- Saint Joseph Care Center
- Bethany Nursing Home, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220531001715 | OH | Practitioner - Internal Medicine | 9638405913 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1346701976 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethany Medical Center Inc | Internal Medicine | Current |
Accepting new patients |
| Bethany Health & Rehabilitation Center LLC | Past | Accepting new patients | |
| SJCC Opco-SNF, LLC | Past | Accepting new patients |
Locations
2308 Reno Dr
Louisville, OH 44641
Phone (330) 875-5562
626 34th St NW
North Canton, OH 44709
Phone (330) 479-8705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 1346701976 | OH | Yes |
Addresses
Primary practice location
626 34TH St NW
Canton, OH 44709-2943
Mailing address
626 34TH St NW
Canton, OH 44709-2943
Phone (330) 417-9171
Other providers in Canton, OH
- Kiersten Baughman
- Stacey Baughman
- Abbey Baum-Beigie
- Candace Jean Baum
- Elizabeth Baum
- Mindi Baum
- Genevieve M Baumgardner
- Mia Bausell
- Anne Marie Bautista
- James Robert Bavis
All providers in Canton, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.