Organization Active NPI

Walter E Baumann M.D. , Inc

  • Urology Physician
  • Okmulgee, OK
National Provider Identifier
1881853984
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10254 Issued in OK
Legal business name
WALTER E BAUMANN M.D. , INC
Practice address
1214 S Belmont Ave
Okmulgee, OK 74447-6310
Phone
(918) 756-4608
Fax
(918) 756-4611
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. Walter E Baumann, M.D.
Title
President
Phone
(918) 756-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 10254 OK Primary

Addresses

Primary practice location

1214 S Belmont Ave
Okmulgee, OK 74447-6310

Mailing address

1214 S Belmont Ave
Okmulgee, OK 74447-6310
Phone (918) 756-4608

Other identifiers 1

IdentifierTypeStateIssuer
100189280AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1214 S Belmont Ave
Okmulgee, OK 74447
Phone (918) 591-5793

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1881853984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-756-4608",
            "fax_number": "918-756-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-756-4608",
            "fax_number": "918-756-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER E BAUMANN M.D. , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "BAUMANN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-756-4608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.