Individual provider Active NPI

Michael Aaron Baumholtz, MD, MS

  • Plastic Surgery Physician
  • Shavano Park, TX
National Provider Identifier
1629197603
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M3469 Issued in TX
Practice address
4083 De Zavala Rd
Shavano Park, TX 78249-2066
Phone
(210) 920-2390
Fax
(210) 920-2380
NPI assigned
Mar 28, 2007
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X M3469 TX Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X M3469 TX

Addresses

Primary practice location

4083 De Zavala Rd
Shavano Park, TX 78249-2066

Mailing address

4083 De Zavala Rd
Shavano Park, TX 78249-2066
Phone (210) 920-2390

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, Master of Science

State licenses

LicenseStateTypeSpecialty
M3469TXMDSurgery of the Hand (Plastic Surgery) Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1629197603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 DE ZAVALA RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492066",
            "telephone_number": "210-920-2390",
            "fax_number": "210-920-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 DE ZAVALA RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492066",
            "telephone_number": "210-920-2390",
            "fax_number": "210-920-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMHOLTZ",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M3469",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "M3469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.