Terry Scott Baul, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301042171 Issued in MI

Practice address

17751 E Warren Ave
Detroit, MI 48224-1329

Phone

(313) 885-6833

Fax

(313) 885-1268

NPI assigned

Nov 24, 2006

Last updated

Dec 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Terry Scott Baul, M.D., P.C.

  • General Practice Physician
  • Detroit, MI
  • NPI 1619238490
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• University Ophthalmology Services Inc.

  • Ophthalmology Physician
  • Amherst, NY
  • NPI 1093860843
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1942375837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17751 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241329",
            "telephone_number": "313-885-6833",
            "fax_number": "313-885-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241329",
            "telephone_number": "313-885-6833",
            "fax_number": "313-885-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUL",
        "first_name": "TERRY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301042171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Daniel Bauer, LLPC
• Michael Mooney Bauer, M.S., PA-C
• Leslie Denise Baugh, PA
• Renee A Baugh, M.D.
• Ronald Steven Baul, MA
• Baum Dental, PC
• Barry Baum, D.D.S.
• Karen Bauman
• Kimberly Bauman, LMSW
• Peter Baumann, MD

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.