MEDICARE: DR. TIMOTHY SCOTT BAUMGARTNER 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	R7659	TX
2	208800000X	Urology Physician	35C.000705	OH
3	208800000X	Urology Physician	3128	WI
4	2083A0100X	Aerospace Medicine Physician	0116018708	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	385523102	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1639377245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY SCOTT BAUMGARTNER MD

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR # MC7977
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-450-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 FLOYD CURL DR FL 4
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229
Country	:	US
Telephone Number	:	210-450-9600
Fax Number	:	210-450-9657

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	10/30/2024

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Directions to “ DR. TIMOTHY SCOTT BAUMGARTNER MD” Practice Location

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