Active NPI
Mark A. Bauer, M.D.
- Orthopaedic Surgery Physician
- Milwaukee, WI
National Provider Identifier
1700834884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 18931020
- Practice address
- 5233 W. Morgan Ave
Suite 102
Milwaukee, WI 53220-1559 - Phone
- (414) 321-8960
- Fax
- (414) 321-0632
- NPI assigned
- May 4, 2006
- Last updated
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 18931 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 18931020 | WI | Primary |
Addresses
Primary practice location
5233 W. Morgan Ave
Suite 102
Milwaukee, WI 53220-1559
Mailing address
5233 W. Morgan Ave
Suite 102
Milwaukee, WI 53220-1559
Phone (414) 321-8960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30224300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18931 | WI | MD | Pharmacist |
| 18931020 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Clinic of Ortho Surgery LTD | Orthopaedic Surgery | Past | Accepting new patients |
| Milwaukee Clinic of Ortho Surgery, LTD. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Milwaukee Clinic of Orthopedic Surgery
- Orthopaedic Surgery Physician
- Brookfield, WI
- NPI 1215169073
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1295788743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1700834884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 W. MORGAN AVE",
"address_2": "SUITE 102",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532201559",
"telephone_number": "414-321-8960",
"fax_number": "414-321-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5233 W. MORGAN AVE",
"address_2": "SUITE 102",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532201559",
"telephone_number": "414-321-8960",
"fax_number": "414-321-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "MARK",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "18931",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "18931020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30224300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.