Active NPI
Werner Baumgartner, M.D.
- Internal Medicine Physician
- Lakewood, CO
National Provider Identifier
1619979887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24894
- Practice address
- 165 S Union Blvd
Ste 800
Lakewood, CO 80228-2213 - Phone
- (303) 988-2680
- Fax
- (303) 986-8057
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24894 | CO | Primary |
Addresses
Primary practice location
165 S Union Blvd
Ste 800
Lakewood, CO 80228-2213
Mailing address
1707 Cole Blvd
Ste 100
Golden, CO 80401-3220
Phone (303) 716-8013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01248947 | Medicaid | CO |
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 |
|---|---|---|---|
| 24894 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1619979887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 COLE BLVD",
"address_2": "STE 100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013220",
"telephone_number": "303-716-8013",
"fax_number": "303-763-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 S UNION BLVD",
"address_2": "STE 800",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282213",
"telephone_number": "303-988-2680",
"fax_number": "303-986-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "WERNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "24894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01248947",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.