MR. ANDREW WILLIAM BAUKOL PA-C NPI 1578808333

NPI Information

NPI: 1578808333
Provider Name: MR. ANDREW WILLIAM BAUKOL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: GEM CITY BONE AND JOINT PC

PECOS Registration: Yes

Address:
1909 VISTA DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8851
Get Directions

MR. Andrew William Baukol, PA-C is a surgical physician assistant in Laramie, WY with 12 years of experience. MR. Andrew William Baukol, PA-C NPI is 1578808333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1909 VISTA DR
LARAMIE, WY
ZIP 82070-599
Phone: (307) 745-8851
Fax: (307) 742-0961

The NPI 1578808333 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 4/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PT925	WYOMING	No
2	363A00000X	Physician Assistant		5322	ARIZONA	No
3	363AS0400X	Physician Assistant	Surgical		SOUTH CAROLINA	No
4	363AS0400X	Physician Assistant	Surgical	PA-1379	IDAHO	No
5	363AS0400X	Physician Assistant	Surgical	PT925	WYOMING	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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