Healthcare Provider Details

I. General information

NPI: 1992066161
Provider Name (Legal Business Name): KATHERINE BAYSINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 04/30/2024
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 HARPER STREET COLON & RECTAL SURGERY ASSOCIATES
AUGUSTA GA
30901-3090
US

IV. Provider business mailing address

208 COLLYER ST STE 301A
PROVIDENCE RI
02904-1560
US

V. Phone/Fax

Practice location:
  • Phone: 706-724-5451
  • Fax:
Mailing address:
  • Phone: 401-725-4888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number74470
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD18095
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: