Active NPI
Wayne A Bare, MD
- Obstetrics & Gynecology Physician
- Wooster, OH
National Provider Identifier
1295791986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35032504
- Practice address
- 1740 Cleveland Rd
Wooster, OH 44691-2204 - Phone
- (330) 287-4898
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35032504 | OH | Primary |
Addresses
Primary practice location
1740 Cleveland Rd
Wooster, OH 44691-2204
Mailing address
6000 W Creek Rd
Independence, OH 44131-2139
Phone (800) 223-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0684773 | Medicaid | OH | |
| P00069357 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35032504 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1295791986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 W CREEK RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312139",
"telephone_number": "800-223-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 CLEVELAND RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912204",
"telephone_number": "330-287-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARE",
"first_name": "WAYNE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35032504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0684773",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00069357",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.