Active NPI
Cory Richard Baum
- Certified Registered Nurse Anesthetist
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D168879
- Practice address
- 3388 Kennedy Cir Ste F
Dubuque, IA 52002-3903 - Phone
- (563) 556-8332
- NPI assigned
- Jun 2, 2021
- Last updated
- Jun 2, 2022
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D168879 | IA | Primary |
| Registered Nurse | 163W00000X | 252750 | SC |
Addresses
Primary practice location
3388 Kennedy Cir Ste F
Dubuque, IA 52002-3903
Mailing address
2236 Indy Dr
Asbury, IA 52002-8218
Phone (636) 346-7412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, UT, WY, CO, AZ
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Carolina School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Juan County Hospital
Practice addresses (Care Compare)
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000
380 W 100
Monticello, UT 84535-0308
Phone (435) 587-2116
575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252750 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animas Surgical Hospital, LLC | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Sevier Valley Anesthesia Group, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Durango Surgery Center LLC | Current | Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District, | Current | Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| San Juan County Hospital | Past | Accepting new patients |
Locations
1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109
575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363
6330 S Western Ave
Ste 150
Sioux Falls, SD 57108
5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210
1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
dba Animas Physician Network
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
Nurse Anesthetist, Certified Registered
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
dba San Juan Clinic
- Rural Health Clinic/Center
- Monticello, UT
- NPI 1659315877
-
- Critical Access Hospital
- Monticello, UT
- NPI 1942251459
-
- Certified Registered Nurse Anesthetist
- Richfield, UT
- NPI 1487895462
Nurse Anesthetist, Certified Registered
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
dba Campbell County Medical Group - Post Discharge Clinic
- General Practice Physician
- Gillette, WY
- NPI 1922784891
-
dba Animas Surgical Center at Escalante
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1548870603
-
dba Spanish Valley Clinic
- Rural Health Clinic/Center
- Spanish Valley, UT
- NPI 1588978738
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
dba Animas Internal Medicine
- Internal Medicine Physician
- Durango, CO
- NPI 1184178238
Hospital
-
dba Animas Urgent Care
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
Hospital
-
dba Animas Occupational Medicine
- Occupational Medicine Physician
- Durango, CO
- NPI 1497071435
Hospital
-
dba Animas Surgical Hospital
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
-
- Critical Access Hospital
- Monticello, UT
- NPI 1942251459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1821664582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 INDY DR",
"city": "ASBURY",
"state": "IA",
"postal_code": "520028218",
"telephone_number": "636-346-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3388 KENNEDY CIR STE F",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520023903",
"telephone_number": "563-556-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "CORY",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D168879",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "252750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.