Individual provider Active NPI

Leigh F Bauer, D.O.

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
National Provider Identifier
1427366814
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02006131A Issued in IN
Practice address
10339 Dawsons Creek Blvd
Fort Wayne, IN 46825-1907
Phone
(260) 999-7147
Fax
(888) 578-2674
NPI assigned
Sep 20, 2010
Last updated
Jan 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02006131 IN
Obstetrics & Gynecology Physician 207V00000X 02006131A IN Primary
Gynecology Physician 207VG0400X 55554 MN
Obstetrics Physician 207VX0000X 55554 MN

Addresses

Primary practice location

10339 Dawsons Creek Blvd
Fort Wayne, IN 46825-1907

Mailing address

PO Box 772437
Detroit, MI 48277-2437
Phone (317) 575-7304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000310 IN Practitioner - Obstetrics/Gynecology 9133379035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02006131INMDObstetrics & Gynecology Physician
02006131AINMDObstetrics & Gynecology Physician
106193MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Castle Clinic Inc CurrentSince Oct 1, 2024 Accepting new patients
New Castle Clinic Inc Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Bloom Hormone Health CurrentSince Feb 9, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10339 Dawsons Creek Blvd
Fort Wayne, IN 46825
Phone (260) 999-7147

1000 N 16th St
Ste 250
New Castle, IN 47362
Phone (765) 521-1217

1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1427366814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772437",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772437",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 DAWSONS CREEK BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251907",
            "telephone_number": "260-999-7147",
            "fax_number": "888-578-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "LEIGH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02006131",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02006131A",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MN",
            "license": "55554",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MN",
            "license": "55554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.