NPIMap

Individual provider Active NPI

Gavin Paul Baumgardner, D.O.

  • Hospitalist Physician
  • Athens, OH
National Provider Identifier
1538265434
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34.007628 Issued in OH
Practice address
55 Hospital Dr
Suite 1545
Athens, OH 45701-2302
Phone
(740) 593-5551
Fax
(614) 923-7813
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 34.007628 OH Primary

Addresses

Primary practice location

55 Hospital Dr
Suite 1545
Athens, OH 45701-2302

Mailing address

PO Box 920
Dublin, OH 43017-6920
Phone (614) 595-1055

Other identifiers 1

IdentifierTypeStateIssuer
2347320MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, CT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071203000258 OH Practitioner - Internal Medicine 8921065392 Reassigns benefits to 1 organization
I20250430003478 TN Practitioner - Internal Medicine 8921065392 Reassigns benefits to 2 organizations
I20250820000113 CT Practitioner - Internal Medicine 8921065392

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4660 Trueman Blvd
Hilliard, OH 43026-2438
Phone (614) 771-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34.007628OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Consultants LLC CurrentSince Feb 8, 2017 Accepting new patients
Avenir Ventures LLC CurrentSince Feb 28, 2025 Accepting new patients
Avenir Ventures, L.L.C. CurrentSince Feb 28, 2025 Accepting new patients
Visiting Clinicians, PC CurrentSince Jun 19, 2025 Accepting new patients
Garden Rehab and Health Care at Victorian Village LLC Past Accepting new patients
Mobile Medical Inc Past Accepting new patients
Ahf Ohio, Inc. Past Accepting new patients
Capitol Medical Associates,LLC Hospitalist Past Accepting new patients
Ohio Health Corporation Past Accepting new patients
Ohio Health Corporation Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

4301 Clime Rd N
Columbus, OH 43228
Phone (614) 276-4400

3710 Olentangy River Rd
Columbus, OH 43214
Phone (614) 457-1100

920 Thurber Dr W
Columbus, OH 43215
Phone (614) 464-2273

4660 Trueman Blvd
Hilliard, OH 43026
Phone (614) 771-4400

218 Elm St
London, OH 43140
Phone (614) 736-5152

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

375 W Main St
West Jefferson, OH 43162
Phone (614) 879-7604

400 Royal Pkwy
Nashville, TN 37214
Phone (615) 231-7113

49 Music Sq W
Ste 401
Nashville, TN 37203
Phone (615) 635-0298

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1538265434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430176920",
            "telephone_number": "614-595-1055",
            "fax_number": "614-923-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "address_2": "SUITE 1545",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012302",
            "telephone_number": "740-593-5551",
            "fax_number": "614-923-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "GAVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34.007628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.