Organization Active NPI

John D Bauer MD PLLC

  • Plastic and Reconstructive Surgery Physician
  • Odessa, TX
National Provider Identifier
1790322766
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JOHN D BAUER MD PLLC
Practice address
601 N Tom Green Ave
Odessa, TX 79761-4567
Phone
(432) 334-7888
NPI assigned
Dec 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
John Bauer, MDNPI 1437269941
Title
Proprietor
Phone
(432) 334-7888

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
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

601 N Tom Green Ave
Odessa, TX 79761-4567

Mailing address

601 N Tom Green Ave
Odessa, TX 79761-4567
Phone (432) 334-7888

National Provider Directory

National Provider Directory

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": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1790322766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614567",
            "telephone_number": "432-334-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N TOM GREEN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614567",
            "telephone_number": "432-334-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D BAUER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "432-334-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.