Active NPI
Karl Joseph Baurys, MS, CCC-A
- Audiologist
- Williamsport, PA
National Provider Identifier
1821065186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000427L
- Practice address
- 1705 Warren Ave
Suite 204
Williamsport, PA 17701-2647 - Phone
- (570) 326-8360
- Fax
- (570) 326-8624
- NPI assigned
- Mar 7, 2006
- Last updated
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000427L | PA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AT000427L | PA |
Addresses
Primary practice location
1705 Warren Ave
Suite 204
Williamsport, PA 17701-2647
Mailing address
1201 Grampian Blvd
PO Box 3127
Williamsport, PA 17701-1900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7223422 | Other | PA | AETNA |
| 809379 | Other | PA | FIRST PRIORITY HEALTH |
| 220878 | Other | PA | HIGHMARK BLUE SHIELD |
| 237981 | Other | PA | HEALTHAMERICA |
| 2518849 | Other | PA | UNITEDHEALTHCARE |
| 0017649400001 | Medicaid | PA |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000427L | PA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Past | Accepting new patients | |
| Susquehanna Physician Services | Audiologist | Past | Accepting new patients |
| Susquehanna Physician Services | Audiologist | Past | Accepting new patients |
| Susquehanna Physician Services | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
dba Susquehanna Health Medical Group
- Otolaryngology Physician
- Williamsport, PA
- NPI 1346263266
Audiologist
-
- Audiologist
- Williamsport, PA
- NPI 1689680233
-
dba Susquehanna Health Medical Group
- Family Medicine Physician
- South Williamsport, PA
- NPI 1780631226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1821065186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"address_2": "PO BOX 3127",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 WARREN AVE",
"address_2": "SUITE 204",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177012647",
"telephone_number": "570-326-8360",
"fax_number": "570-326-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAURYS",
"first_name": "KARL",
"middle_name": "JOSEPH",
"credential": "MS, CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000427L",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT000427L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7223422",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "809379",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "220878",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "237981",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2518849",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017649400001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.