Healthcare Provider Details

I. General information

NPI: 1790048866
Provider Name (Legal Business Name): MARITA DAWN BAUMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2012
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4751
  • Fax: 330-344-0092
Mailing address:
  • Phone: 330-344-4751
  • Fax: 330-344-0092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.131420
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: