Eugene Shaner Lebauer, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

14712 Issued in NC

Practice address

3201 Brassfield Rd
Suite 400
Greensboro, NC 27410-9682

Phone

(336) 282-2300

Fax

(336) 282-0034

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lebauer Medical Center, PLLC

  • Allergy Physician
  • Greensboro, NC
  • NPI 1538217179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1326196957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 BRASSFIELD RD",
            "address_2": "SUITE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109682",
            "telephone_number": "336-282-2300",
            "fax_number": "336-282-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BRASSFIELD RD",
            "address_2": "SUITE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109682",
            "telephone_number": "336-282-2300",
            "fax_number": "336-282-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAUER",
        "first_name": "EUGENE",
        "middle_name": "SHANER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NC",
            "license": "14712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "32679",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIELD",
            "identifier": "51330",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0207779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "82551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951330",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Leatherman, PTA
• Lebauer Medical Center, PLLC
• Lebauer Physical Therapy, LLC
• Aaron Joseph Lebauer, PT, DPT
• Edmund Joseph Lebauer, M.D.
• Samuel Morgenstern Lebauer, M.D.
• Katie Leblanc, SLP
• Alexandra J Lebron
• Ethan Lechner, LCSWA, PHD
• Priscilla Lecompte, LCMHCA

• Allergy Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Allergy Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.