Basic Information
| Provider Information | |||||||||
| NPI: | 1548204795 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAUM | ||||||||
| FirstName: | KARYN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 HARVARD ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122733000 | ||||||||
| FaxNumber: | 6122734370 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 HARVARD ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122733000 | ||||||||
| FaxNumber: | 6122734370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 10/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 39729 | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 04-08444 | 01 | MN | MEDICA CHOICE | OTHER | 0505487 | 05 | IA | MEDICAID | 1016610 | 01 | MN | PREFERRED ONE | OTHER | 32410300 | 05 | WI | MEDICAID | 731518000 | 05 | MN | MEDICAID | 122653 | 01 | MN | UCARE | OTHER | 796309 | 01 | MN | ARAZ | OTHER | 07G84BA | 01 | MN | BCBS | OTHER | 04-00123 | 01 | MN | MEDICA PRIMARY | OTHER | HP28873 | 01 | MN | HEALTHPARTNERS | OTHER |