Provider Demographics
NPI:1023096559
Name:BAUMGARTEN, MARGARET A (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:BAUMGARTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-397-6344
Mailing Address - Fax:757-606-1185
Practice Address - Street 1:3640 HIGH ST STE 3B
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-397-6344
Practice Address - Fax:757-606-1185
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherVA HEALTH NETWORK
VA-002 -003OtherTRICARE/CHAMPUS
VA50022OtherSENTARA/OPTIMA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA187076OtherANTHEM BC/BS GHENT FAMILY MEDICINE
VA010237068Medicaid
NC5902595Medicaid
VA426629OtherANTHEM BC/BS PORTSMOUTH FAMILY MEDICINE
VAPAROtherMULITPLAN
VAPAROtherVIRGINIA PREMIER HEALTH
VA2140014OtherUHC/MAMSI
VA10004928OtherSENTARA OPTIMA
VAPAROtherCIGNA
VAPAROtherAETNA
VA005629187Medicaid
VAPAROtherUSA MANAGED CARE
NC02595OtherNC BCBS
VA102352OtherBCBS
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherMULITPLAN
VAP00318364Medicare PIN
VA009570E10Medicare PIN