Thomas Anderson Bauer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-13935 Issued in KS

Practice address

602 South Buckeye Avenue
Stafford, KS 67578

Phone

(620) 234-6073

Fax

(620) 234-6085

NPI assigned

Jan 13, 2006

Last updated

Mar 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Joseph Memorial Hospital, Inc.

  dba St Joseph Family Medicine-Larned

  • Family Medicine Physician
  • Larned, KS
  • NPI 1326098914
  NPD (past)
• St. Joseph Memorial Hospital, Inc.

  dba St. Joseph Family Medicine - Larned

  • Rural Health Clinic/Center
  • Larned, KS
  • NPI 1710133269
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1669451084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SOUTH BUCKEYE AVENUE",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "67578",
            "telephone_number": "620-234-6073",
            "fax_number": "620-234-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SOUTH BUCKEYE AVENUE",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "67578",
            "telephone_number": "620-234-6073",
            "fax_number": "620-234-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "THOMAS",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-13935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081810 A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlena K Allen, OTA
• Larry D Ball, MD
• Jill Burbank, PA
• Charles L Craig, PA
• Tamara L Farmer, ARNP
• Raquel Garza
• Grene Vision Group LLC

• Internal Medicine Physician in Stafford, KS
• Providers in Stafford, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.