Active NPI
William Bauer, M.D.
- Otolaryngology Physician
- Fernandina, FL
National Provider Identifier
1780638692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME86839
- Practice address
- 1340 S 18TH St
Suite 102
Fernandina, FL 32034-4733 - Phone
- (904) 321-1417
- NPI assigned
- May 22, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME86839 | FL | Primary |
Addresses
Primary practice location
1340 S 18TH St
Suite 102
Fernandina, FL 32034-4733
Mailing address
1340 S 18TH St
Suite 102
Fernandina, FL 32034-4733
Phone (904) 321-1417
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1780638692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 S 18TH ST",
"address_2": "SUITE 102",
"city": "FERNANDINA",
"state": "FL",
"postal_code": "320344733",
"telephone_number": "904-321-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S 18TH ST",
"address_2": "SUITE 102",
"city": "FERNANDINA",
"state": "FL",
"postal_code": "320344733",
"telephone_number": "904-321-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME86839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernandina, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.