Provider Demographics
NPI:1508246448
Name:BAAS, WESLEY RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:RICHARD
Last Name:BAAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:135-855-5065
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:222 PIEDMONT AVE STE 7200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4224
Practice Address - Country:US
Practice Address - Phone:513-475-8787
Practice Address - Fax:513-929-7239
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2020015511208800000X
OH35.141169208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology