Healthcare Provider Details

I. General information

NPI: 1265054548
Provider Name (Legal Business Name): IVANA KADIC BAUMGARTEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2020
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CENTREPARK DR
ASHEVILLE NC
28805-1262
US

IV. Provider business mailing address

PO BOX 37629
BELFAST ME
04915-1218
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-4337
  • Fax: 282-251-9240
Mailing address:
  • Phone: 828-254-4337
  • Fax: 828-251-9240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2023-00835
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: