Richard W Baehler, MD
Individual provider Active NPI Nephrology Physician · Greensboro, GA
NPI 1992808463 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1992808463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 059429 (GA)
- Practice address
- 1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539 - Phone
- (706) 923-2002
- Fax
- (706) 999-1540
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070725000404 | GA | Practitioner - Nephrology |
2668454935 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Group of Saint Joseph'S, LLC | Past | Accepting new patients |
Interoperability endpoints
- richard.baehler@athenshealth.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 17721 | KY | |
| Nephrology Physician | 207RN0300X | 059429 | GA | Yes |
Addresses
Primary practice location
1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Mailing address
1000 Cowles Clinc Way Ste W-200
Greensboro, GA 30642-4539
Phone (706) 923-2002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64177215 | Medicaid | KY |
Other providers in Greensboro, GA
- Athens Sports Medicine Clinic Inc
- Atlanta Center for Urology Research & Development PC
- Atlanta Hearing Associates of Lake Oconee, LLC
- Aurelio Manto, MD
- Tania Lea Avolio
- Karen Marie Baker
- Andrew Bennett Bartolomei
- Hannah M Baynes
- Annette Jackson Benneche
- Benzer Pharmacy Ga1 LLC
All providers in Greensboro, GA · Nephrology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.