Individual provider Active NPI

Roy Baumgart, H.I.S.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1467707000
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HAD5540 Issued in AZ
Practice address
14848 N Cave Creek Rd Ste 14
Phoenix, AZ 85032-4954
Phone
(602) 992-3520
Fax
(602) 923-1104
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HAD5540 AZ Primary

Addresses

Primary practice location

14848 N Cave Creek Rd Ste 14
Phoenix, AZ 85032-4954

Mailing address

14848 N Cave Creek Rd Ste 14
Phoenix, AZ 85032-4954
Phone (602) 992-3520

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAD5540AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Colonel Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1467707000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14848 N CAVE CREEK RD STE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324954",
            "telephone_number": "602-992-3520",
            "fax_number": "602-923-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14848 N CAVE CREEK RD STE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324954",
            "telephone_number": "602-992-3520",
            "fax_number": "602-923-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGART",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "HAD5540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.