Thomas J. Baesl, MD
Individual provider Active NPI Pediatric Surgery Physician · Aurora, CO
NPI 1790734481 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1790734481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Surgery Physician 2086S0120X
- License
- 45420 (CO)
- Practice address
- 13123 E 16TH Ave
Aurora, CO 80045-7106 - Phone
- (720) 777-1234
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 45420 | CO | Yes |
Addresses
Primary practice location
13123 E 16TH Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other providers in Aurora, CO
- Amiran Baduashvili
- Baek Primary Clinic LLC
- Christopher Baek
- Sujin Baek
- Heather Baer
- Catherine Elizabeth Baessler
- David C. Baez
- Bafflink Home Health Services
- Kazimir Bagdady
- Bagira Bagirova
All providers in Aurora, CO · Pediatric Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.