Active NPI
Wayne E Bauman, MD
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1770554602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35041847B
- Practice address
- 10496 Montgomery Rd
Suite 201
Cincinnati, OH 45242 - Phone
- (513) 984-5042
- Fax
- (513) 984-8759
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35041847B | OH | Primary |
Addresses
Primary practice location
10496 Montgomery Rd
Suite 201
Cincinnati, OH 45242
Mailing address
PO Box 428668
Cincinnati, OH 45242-8668
Phone (513) 984-5042
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0411932 | Medicaid | OH | |
| 791071182 | Other | OH | RR MEDICARE |
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 |
|---|---|---|---|
| 35041847B | OH | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne E. Bauman, M.D. | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1770554602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428668",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428668",
"telephone_number": "513-984-5042",
"fax_number": "513-984-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10496 MONTGOMERY RD",
"address_2": "SUITE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-984-5042",
"fax_number": "513-984-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "WAYNE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35041847B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0411932",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "791071182",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.