Active NPI
Maimuna Baig, MD
- General Practice Physician
- Lake St Louis, MO
National Provider Identifier
1679536403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 36225
- Practice address
- 2 Harbor Bend CT
Lake St Louis, MO 63367-1478 - Phone
- (636) 561-2220
- Fax
- (636) 625-4723
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 36225 | MO | Primary |
Addresses
Primary practice location
2 Harbor Bend CT
Lake St Louis, MO 63367-1478
Mailing address
2 Harbor Bend CT
Suite 202
Lake St Louis, MO 63367-1478
Phone (636) 561-2220
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100766 | Other | MO | BCBS MO PAPER CLAIMS |
| BA202217311 | Medicaid | MO | |
| S04011 | Other | SSM HEALTHCARE | |
| 110141833 | Other | PALMETTO GBA/RAILROAD MCR | |
| 18031 | Other | MO | BCBS MO ELECTRONIC |
| 107274 | Other | HEALTHLINK |
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 |
|---|---|---|---|
| 36225 | MO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1679536403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HARBOR BEND CT",
"address_2": "SUITE 202",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671478",
"telephone_number": "636-561-2220",
"fax_number": "636-625-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HARBOR BEND CT",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671478",
"telephone_number": "636-561-2220",
"fax_number": "636-625-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIG",
"first_name": "MAIMUNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "36225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO PAPER CLAIMS",
"identifier": "100766",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BA202217311",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSM HEALTHCARE",
"identifier": "S04011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA/RAILROAD MCR",
"identifier": "110141833",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MO ELECTRONIC",
"identifier": "18031",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "107274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.