Clarice Ms Baumgartner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

48382 Issued in CO

Practice address

2245 Blake St Apt B
Denver, CO 80205-2053

Phone

(720) 802-0924

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1609027408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 BLAKE ST APT B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052053",
            "telephone_number": "303-895-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 BLAKE ST APT B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052053",
            "telephone_number": "720-802-0924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 W Clyde Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802112789",
            "country_code": "US",
            "telephone_number": "303-895-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "CLARICE",
        "middle_name": "MS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL2552",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "48382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41258266",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.physicianpsychedelics.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2245 Blake St Apt B",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802052053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ross Baumann
• Lynn L Baumeister, RN, NP
• Emily Baumgard, RN
• Joan Ysebaert Baumgardner, RN
• Margaret Louise Baumgardner, MSW
• Rachel Rae Baumgartner, BCBA
• Lauren Jean Bausch
• Michele Bausch
• Brianna Elysse Bausman, LPCC
• Martha Middleton Bautista-Biddle, PSYD, LP

• Internal Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.