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Deactivated NPI 1639188360 Deactivated / Inactive NPI Female Practitioner

Dr. M Anne Baumgardt , MD

Pediatrics • Manitowoc, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. M Baumgardt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date February 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. M Baumgardt, MD was a registered Pediatrics practicing in Manitowoc, WI. Throughout an active medical career spanning 16 years, Dr. Baumgardt provided care at the practice location at 4100 DEWEY ST until profile deactivation on 2022-02-04.

Practice Location & Contact Primary Location

Practice Address

4100 Dewey St

Manitowoc, WI 54220

Telephone 9206865700
Fax 9206865726
Associated Practice Facility / Clinic
🏢 Aurora Medical Group, Inc. Facility NPI 1801941075

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Manitowoc, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 25898

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Kaylee Hawks , FNP-C

Nurse Practitioner

NPI 1003520255

Family Nurse Practitioner (Certified)

Dr. Jamie Heiman , DC

Nurse Practitioner

NPI 1083786859

Doctor of Chiropractic

NPI 1326155532

Doctor of Medicine (M.D.)

NPI 1326280611

Doctor of Medicine (M.D.)

Sheridan Specht , NP

Nurse Practitioner

NPI 1467336347

Nurse Practitioner

NPI 1497739288

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 04, 2022

Record deactivated on February 04, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4100 DEWEY ST, MANITOWOC, WI 54220 (Tel: 9206865700)

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Updated Business Mailing Address July 09, 2007

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4146476326)

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Provider Name / Credentials Updated July 09, 2007

Recorded as M BAUMGARDT, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #25898 in WI)

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Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639188360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 09, 2007
Deactivation Date: February 04, 2022

Mailing Address

3301 W Forest Home Ave

Milwaukee, WI 532152843

Phone: 4146476326

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.