MEDICARE: DR. KATHERINE BAYSINGER M.D.

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	208600000X	Surgery Physician	74470	GA
2	208C00000X	Colon & Rectal Surgery Physician	MD18095	RI
3	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD18095	OTHER	RI	STATE MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992066161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE BAYSINGER M.D.

Provider Business Mailing Address
First Line	:	208 COLLYER ST STE 301A
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-1560
Country	:	US
Telephone Number	:	401-725-4888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 HARPER STREET
Second Line	:	COLON & RECTAL SURGERY ASSOCIATES
City	:	AUGUSTA
State	:	GA
Zip	:	30901-3090
Country	:	US
Telephone Number	:	706-724-5451
Fax Number	:

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

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	04/30/2024

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