LARA J. BAATENBURG MD – NPI #1336590843
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

LARA BAATENBURG is a physician located in ADA, MI. NPPES has assigned the NPI number 1336590843 to LARA BAATENBURG on June 27, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Feb 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARA BAATENBURG below.

NPI Profile for
LARA J. BAATENBURG

NPI Number
1336590843
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LARA J. BAATENBURG
Credentials
MD
Primary location
6741 FULTON ST E STE 200
ADA, MI 49301-9502
Phone: (616) 290-1650 Fax: (833) 973-4117
2 Other location(s):
25 Michigan St NE
Grand Rapids, MI 49503-2515
Phone: (616) 267-0800
950 36th St SW
Wyoming, MI 49509
Phone: (616) 685-3300
Fax: (616) 685-3303
Mailing address
950 36TH ST SW
WYOMING, MI 49509-3587
Phone: (616) 685-3300 Fax: (616) 685-3303
Sole Proprietor
No
Updated
Certification Date
Feb 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI 4301109996

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LARA BAATENBURG is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY HEALTH SAINT MARY'S
      200 JEFFERSON AVENUE SE
      GRAND RAPIDS, MI 49503

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.