Individual provider Active NPI

Charles Martin Bauman, CRNA

  • Certified Registered Nurse Anesthetist
  • Auburn, MI
National Provider Identifier
1669409397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704180430 Issued in MI
Practice address
318 Chip Rd
Auburn, MI 48611-9741
Phone
(989) 662-0111
Fax
(989) 393-6393
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704180430 MI Primary

Addresses

Primary practice location

318 Chip Rd
Auburn, MI 48611-9741

Mailing address

318 Chip Rd
Auburn, MI 48611-9741
Phone (989) 662-0111

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Ambulatory Anesthesia Care, PLLC Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
West Coast Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Organizations & group practices 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669409397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CHIP RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119741",
            "telephone_number": "989-662-0111",
            "fax_number": "989-393-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CHIP RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119741",
            "telephone_number": "989-662-0111",
            "fax_number": "989-393-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "CHARLES",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704180430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.