Active NPI
Wayne E. Bauman, M.D.
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1164585675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35041847B
- Legal business name
- WAYNE E. BAUMAN, M.D.
- Practice address
- 10496 Montgomery Rd Suite 201
Cincinnati, OH 45242 - Phone
- (513) 984-5042
- Fax
- (513) 984-8759
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne E. Bauman, M.D.
- Title
- President
- Phone
- (513) 984-5042
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35041847B | OH | Primary |
Addresses
Primary practice location
10496 Montgomery Rd Suite 201
Cincinnati, OH 45242
Mailing address
PO Box 428668
Cincinnati, OH 45242-8668
Phone (513) 984-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0411932 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1164585675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428668",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428668",
"telephone_number": "513-984-5042",
"fax_number": "513-984-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10496 MONTGOMERY RD SUITE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-984-5042",
"fax_number": "513-984-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE E. BAUMAN, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "BAUMAN",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-984-5042",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "OH",
"license": "35041847B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0411932",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.