Myriam Farkouh Bauer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

249619 Issued in NY

Practice address

919 Westfall Rd.
Building a, Suite 105
Rochester, NY 14618

Phone

(585) 244-9720

Fax

(585) 244-9995

NPI assigned

Jan 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Myriam Farkouh Former name

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

Interoperability endpoints

• Direct secure messaging: mbauer@elmwoodpediatrics.medentdirect.com

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.

• Elmwood Pediatric Group, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1497840391
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1366420473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD.",
            "address_2": "BUILDING A, SUITE 105",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "14618",
            "telephone_number": "585-244-9720",
            "fax_number": "585-244-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD.",
            "address_2": "BUILDING A, SUITE 105",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-244-9720",
            "fax_number": "585-244-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MYRIAM",
        "middle_name": "FARKOUH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD427342",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRIAM",
            "last_name": "FARKOUH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne O'Brien Bauer
• Derek D. Bauer, MD
• Jessica Lynn Bauer, OTR/L
• Katie Bauer
• Kerry Bauer, LCSW
• Britta Baughman, RPA-C, MPAS
• Lauren Baughman, FNP
• Andrew Selwyn Bauliah, MD
• Tonya Cassandra Baulkman
• Lauren Michelle Baum, LCSW

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.