Active NPI
George P. Bauer MD
- Otolaryngology Physician
- Fairfield, OH
National Provider Identifier
1699044461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35064650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George P. Bauer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366547531 | Other | NPI | |
| 0924227 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.