Ik Hak Bae, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

17499-20 Issued in WI

Practice address

2116 Craig Rd.
Eau Claire, WI 54701

Phone

(715) 858-4500

NPI assigned

Jan 22, 2010

Last updated

Jan 22, 2010By 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

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.

• Physicians of Obstetrics & Gynecology LTD

  • Obstetrics & Gynecology Physician
  • Franklin, WI
  • NPI 1497712145
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1669703195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 N. RANGE LINE RD.",
            "city": "RIVER HILLS",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-354-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CRAIG RD.",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-858-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "IK",
        "middle_name": "HAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WI",
            "license": "17499-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Baardseth
• Dharmesh Babaria, MD
• Melissa Babin, MSN, APRN, AGCNS-BC
• Abby Mae Bachmeier, DC
• Abby C Bader, RN
• Daniel Baehr, DPT
• James Robert Baer, MD
• Stacy Jo Bahe
• Megan Baierl, APNP
• Brooke Violet Bailey, PHARMD

• Gynecology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.