Active NPI
Neal J Baumbach, MD
- Neurology Physician
- Tucson, AZ
National Provider Identifier
1972604353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 45315
- Practice address
- 2240 E. Camino El Ganado
#3
Tucson, AZ 85718 - Phone
- (520) 989-0668
- Fax
- (520) 989-0668
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 00G496480 | CA | |
| Neurology Physician | 2084N0400X | 45315 | AZ | Primary |
Addresses
Primary practice location
2240 E. Camino El Ganado
#3
Tucson, AZ 85718
Mailing address
2240 E. Camino El Ganado
#3
Tucson, AZ 85718
Phone (520) 989-0668
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45315 | AZ | MD | Neurology Physician |
| 00G496480 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1972604353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E. CAMINO EL GANADO",
"address_2": "#3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85718",
"telephone_number": "520-989-0668",
"fax_number": "520-989-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 E. CAMINO EL GANADO",
"address_2": "#3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85718",
"telephone_number": "520-989-0668",
"fax_number": "520-989-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMBACH",
"first_name": "NEAL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "00G496480",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "45315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.