MEDICARE: DR. WESLEY RICHARD BAAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	2020015511	MO
2	208800000X	Urology Physician	35.141169	OH

General Provider Information

NPI Number	:	1508246448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WESLEY RICHARD BAAS MD

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	135-855-5065
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	222 PIEDMONT AVE STE 7200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-4224
Country	:	US
Telephone Number	:	513-475-8787
Fax Number	:	513-929-7239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	01/26/2021

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