Carla J Bauman MD PS

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CARLA J BAUMAN MD PS

Practice address

626 120TH Ave NE Ste B104
Bellevue, WA 98005-3077

Phone

(425) 455-3376

NPI assigned

Dec 31, 2014

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carla J Bauman, MDNPI 1952381733

Title

Medical Director

Phone

(425) 455-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Carla J Bauman, M.D.

  • Dermatology Physician
  • Bellevue, WA
  • NPI 1952381733
  Medicare reassignment Care Compare group NPD Authorized official
• Reid Masters, M.D.

  • Dermatology Physician
  • Federal Way, WA
  • NPI 1548420342
  Medicare reassignment Care Compare group NPD
• Amanda Erin Norton, DNP, ARNP

  • Adult Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1508309824

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lynne B Vigesaa, ARNP

  • Nurse Practitioner
  • Bellevue, WA
  • NPI 1245288869
  NPD
• Shane A Keck, MPA,PA-C

  • Physician Assistant
  • Kirkland, WA
  • NPI 1134308067
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1548658362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 120TH AVE NE STE B104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053077",
            "telephone_number": "425-455-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 120TH AVE NE STE B104",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053077",
            "telephone_number": "425-455-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA J BAUMAN MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-455-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careage at Home, LLC
• Careage Home Health LLC
• Careplus Foot and Ankle Specialists, LLC (CarePlus Foot and Ankle Specialists)
• Brian Joseph Carey, M.D.
• Carl H. Jelstrup, DC, PS, Inc
• Carla J. Bauman, MD
• Veronica Coromoto Carles
• Casey A Carlos, MD
• Cheyanna Mae Carlson, LMP
• Gretchen Woodworth Carlson, MD

• Dermatology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.