Active NPI
Leigh F Bauer, D.O.
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 02006131A
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006131 | IN | MD | Obstetrics & Gynecology Physician |
| 02006131A | IN | MD | Obstetrics & Gynecology Physician |
| 106193 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Castle Clinic Inc | Current | Accepting new patients | |
| New Castle Clinic Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Bloom Hormone Health | Current | 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.
-
- Internal Medicine Physician
- New Castle, IN
- NPI 1801964960
Obstetrics & Gynecology
-
- Clinic/Center
- Fort Wayne, IN
- NPI 1922812890
-
dba New Castle DME
- Durable Medical Equipment & Medical Supplies
- New Castle, IN
- NPI 1073289716
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.