Karl M. Baumgartner
Pediatrician Adolescent Medicine
5131 E Southern Ave
Mesa
, Arizona 85206-2799
Karl M. Baumgartner
Pediatrician Adolescent Medicine
5131 E Southern Ave
Mesa
, Arizona 85206-2799
(602) 933-1813
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Karl M. Baumgartner
- 3200 E Camelback Rd Ste 250
- Phoenix, AZ
- Zip : 85018-2327
- Phone : (602) 933-1813
Second Address
- Karl M. Baumgartner
- 5131 E Southern Ave
- Mesa, AZ
- Zip : 85206-2799
- Fax : (480) 833-9349
- Phone : (480) 833-5437
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Is Karl M. Baumgartner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 22020 | AZ |
| N | 2080A0000X | Adolescent Medicine | 22020 | AZ |
National Provider Identifier
| NPI | 1174522890 |
|---|---|
| Provider Name | Karl M. Baumgartner |
| First Address | Phoenix, AZ 85018-2327 |
| Second Address | Mesa, AZ 85206-2799 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2005 |
| Last Update Date | 15/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 166654 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.