Individual provider Active NPI

Geoffrey E Baum, D.O.

  • Orthopaedic Surgery Physician
  • Milwaukie, OR
National Provider Identifier
1720196066
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO13935 Issued in OR
Practice address
6564 SE Lake Rd Ste 200
Milwaukie, OR 97222-2237
Phone
(503) 477-4343
Fax
(866) 825-9040
NPI assigned
Aug 28, 2006
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO13935 OR Primary

Addresses

Primary practice location

6564 SE Lake Rd Ste 200
Milwaukie, OR 97222-2237

Mailing address

6564 SE Lake Rd Ste 200
Milwaukie, OR 97222-2237
Phone (503) 477-4343

Other practice location 1

5536 SE Woodstock Blvd
Portland, OR 97206-6829
Phone (503) 477-4343

Other practice location 2

6564 SE Lake Rd Ste 200
Milwaukie, OR 97222-2237
Phone (503) 477-4343

Other identifiers 2

IdentifierTypeStateIssuer
271619MedicaidOR
840495001OtherBX

Other names 1

  • Dr. Geoffrey E Baum Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jerrold L Snow LLC CurrentSince Jun 1, 2020 Accepting new patients
Eastside Orthopedics & Sports Medicine, LLC Orthopaedic Surgery PastSince Sep 1, 2017 Accepting new patients

Locations

5536 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 236-1830

6564 SE Lake Rd
Ste 200
Portland, OR 97222
Phone (503) 477-4343

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18772/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1720196066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 200",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222237",
            "telephone_number": "503-477-4343",
            "fax_number": "866-825-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6564 SE LAKE RD STE 200",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222237",
            "telephone_number": "503-477-4343",
            "fax_number": "866-825-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5536 SE WOODSTOCK BLVD",
            "address_purpose": "LOCATION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066829",
            "country_code": "US",
            "telephone_number": "503-477-4343",
            "fax_number": "503-236-1908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6564 SE Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972222237",
            "country_code": "US",
            "telephone_number": "503-477-4343",
            "fax_number": "866-825-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "GEOFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "DO13935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271619",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "840495001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEOFFREY",
            "last_name": "BAUM",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.