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DR. KATHLEEN B BAEVERSTAD MD
NPI 1821083221
Emergency Medicine in Columbia City, IN

Active since September 13, 2005
353 N OAK ST, COLUMBIA CITY, IN 46725(260) 248-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen B Baeverstad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN B BAEVERSTAD MD (NPI 1821083221) is an individual emergency medicine provider in Columbia City, Indiana, licensed in Indiana (01032868A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1821083221
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KATHLEEN B BAEVERSTADCredential: MD
Location Address353 N OAK STColumbia City, IN 46725-1623
Mailing Address2414 E State Blvd, Suite 202Fort Wayne, IN 46805-4760 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 248-9000
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821083221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01032868A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
353 N OAK ST, Columbia City, IN 46725
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Other Identifiers 5

Medicare ID-Type Unspecified047840IIN
Other000000008456Mplan
Other000000082521IN · Anthem
Medicare UPIND69422IN
Medicaid0801832OH

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL EMERGENCY PHYSICIANS INC
Physician Assistant (Medical)
353 N OAK ST
COLUMBIA CITY, IN 46725
Whitley County (260) 248-9000
NORTHEAST INDIANA PAIN SPECIALISTS, LLC
Anesthesiology (Pain Medicine)
353 N OAK ST
COLUMBIA CITY, IN 46725
Whitley County (260) 248-9304
NORTHEAST INDIANA ANESTHESIOLOGY, PC
Anesthesiology
353 N OAK ST
COLUMBIA CITY, IN 46725
Whitley County (260) 248-9304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Baeverstad's NPI number?

The NPI number for Kathleen Baeverstad is 1821083221. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Kathleen Baeverstad located?

Kathleen Baeverstad practices at 353 N Oak St, Columbia City, IN 46725. The listed phone number is (260) 248-9000.

What is Kathleen Baeverstad's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Baeverstad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.