Organization Active NPI

George P. Bauer MD

  • Otolaryngology Physician
  • Fairfield, OH
National Provider Identifier
1699044461
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35064650 Issued in OH
Legal business name
GEORGE P. BAUER MD
Practice address
2960 Mack Rd
Suite 107
Fairfield, OH 45014-5373
Phone
(513) 860-4771
Fax
(513) 860-4770
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. George P. Bauer, MDNPI 1366547531
Title
Owner
Phone
(513) 860-4771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 35064650 OH Primary

Addresses

Primary practice location

2960 Mack Rd
Suite 107
Fairfield, OH 45014-5373

Mailing address

2960 Mack Rd
Suite 107
Fairfield, OH 45014-5373
Phone (513) 860-4771

Other identifiers 2

IdentifierTypeStateIssuer
1366547531OtherNPI
0924227MedicaidOH

National Provider Directory

National Provider Directory

Locations

2960 Mack Rd
Ste 107
Fairfield, OH 45014
Phone (513) 860-4771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1699044461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD",
            "address_2": "SUITE 107",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145373",
            "telephone_number": "513-860-4771",
            "fax_number": "513-860-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD",
            "address_2": "SUITE 107",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145373",
            "telephone_number": "513-860-4771",
            "fax_number": "513-860-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P. BAUER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-860-4771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35064650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366547531",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.