Active NPI
Thomas A Baumgartner, MD PC
- Obstetrics & Gynecology Physician
- Missoula, MT
National Provider Identifier
1497712764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4051
- Practice address
- 2825 Fort Missoula Rd
Suite 304
Missoula, MT 59804-7420 - Phone
- (406) 542-2116
- Fax
- (406) 542-1425
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4051 | MT | Primary |
Addresses
Primary practice location
2825 Fort Missoula Rd
Suite 304
Missoula, MT 59804-7420
Mailing address
2825 Fort Missoula Rd
Suite 304
Missoula, MT 59804-7420
Phone (406) 542-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056784 | Medicaid | MT |
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 |
|---|---|---|---|
| 4051 | MT | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497712764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 FORT MISSOULA RD",
"address_2": "SUITE 304",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047420",
"telephone_number": "406-542-2116",
"fax_number": "406-542-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 FORT MISSOULA RD",
"address_2": "SUITE 304",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047420",
"telephone_number": "406-542-2116",
"fax_number": "406-542-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER, MD PC",
"first_name": "THOMAS",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "4051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056784",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.