Organization Active NPI

Barnesville Surgery Inc

  • Surgery Physician
  • Barnesville, OH
National Provider Identifier
1396793675
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35043893 Issued in OH
Legal business name
BARNESVILLE SURGERY INC
Practice address
100 Hospital Dr
Suite 103, Box 2
Barnesville, OH 43713-1098
Phone
(740) 425-5190
Fax
(740) 425-5197
NPI assigned
May 5, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Michael R. Baum, M.D.NPI 1922094325
Title
Owner
Phone
(740) 425-5190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35043893 OH Primary

Addresses

Primary practice location

100 Hospital Dr
Suite 103, Box 2
Barnesville, OH 43713-1098

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980

Other identifiers 1

IdentifierTypeStateIssuer
0134278MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000678 OH Part B Supplier - Clinic/Group Practice 2062587785 Receives reassigned benefits from 2 practitioners
Practice locations: Barnesville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1396793675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "SUITE 103, BOX 2",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131098",
            "telephone_number": "740-425-5190",
            "fax_number": "740-425-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNESVILLE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-425-5190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35043893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134278",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.