# WALTER E BAUMANN M.D. , INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881853984
- **Authorized official:** DR. WALTER E BAUMANN M.D. (PRESIDENT)
- **Authorized official phone:** (918) 756-4608

## Contact information

- **Practice address:** 1214 S BELMONT AVE, OKMULGEE, OK 74447-6310
- **Practice address phone:** (918) 756-4608
- **Practice address fax:** (918) 756-4611
- **Mailing address:** 1214 S BELMONT AVE, OKMULGEE, OK 74447-6310
- **Mailing address phone:** (918) 756-4608
- **Mailing address fax:** (918) 756-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 10254 | OK | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 10/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100189280A | — | OK |