Organization Active NPI

Wayne E. Bauman, M.D.

  • Dermatology Physician
  • Cincinnati, OH
National Provider Identifier
1164585675
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35041847B Issued in OH
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

Updated by the provider on Apr 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wayne E. Bauman, M.D.NPI 1770554602
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0411932MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.