Terry D Bauch, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Wilkes-Barre, PA
NPI 1790774768 · NPPES record last updated Jul 13, 2022
Key facts
- NPI
- 1790774768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- MD052361L (PA)
- Practice address
- 1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610 - Phone
- (570) 808-6020
- Fax
- (570) 808-2306
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 49
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Riverside Physician Services Inc
Cardiology Consultants of Philadelphia PC
McLeod Loris Seacoast Hospital
McLeod Regional Medical Center of the Pee Dee Inc
Lutheran Medical Group LLC
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
12200 Warwick Blvd
Suite 590B
Newport News, VA 23601-2344
Phone (757) 594-2074
1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8100
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Hospital & facility affiliations
- Geisinger Wyoming Valley Medical Center
- Geisinger Medical Center
- McLeod Regional Medical Center-Pee Dee
- Riverside Regional Medical Center
- Lutheran Hospital of Indiana
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in PA, VA, IN, SC, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000610 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 8628170065 | Reassigns benefits to 2 organizations |
| I20220713001966 | VA | Practitioner - Cardiovascular Disease (Cardiology) | 8628170065 | Reassigns benefits to 2 organizations |
| I20221102000788 | IN | Practitioner - Cardiovascular Disease (Cardiology) | 8628170065 | Reassigns benefits to 1 organization |
| I20250109002612 | SC | Practitioner - Interventional Cardiology |
8628170065 | Reassigns benefits to 5 organizations |
| I20250729003208 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 8628170065 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Loris Seacoast Hospital | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current |
Accepting new patients | |
| Cardiology Consultants of Philadelphia, P.C. | Cardiovascular Disease | Current |
Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| McLeod Health Clarendon | Current |
Accepting new patients | |
| McLeod Health Cheraw | Current |
Accepting new patients | |
| Lutheran Medical Group LLC | Cardiovascular Disease | Current |
Accepting new patients |
| McLeod Health Clarendon | Current |
Accepting new patients | |
| McLeod Medical Center-Dillon | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Current |
Accepting new patients | |
| McLeod Medical Center-Dillon | Current |
Accepting new patients | |
| Sentara Medical Group | Cardiovascular Disease | Current |
Accepting new patients |
| Riverside Physician Services, Inc. | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| McLeod Health Cheraw | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
100 N Academy Ave
Danville, PA 17822
1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100
207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
19375 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 674-8700
Interoperability endpoints
- terry.bauch.1@11356.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101273997 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | K6811 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | MD052361L | PA | Yes |
Addresses
Primary practice location
1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3610
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024741150001 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbauch88585@direct.geisinger.edu | Direct |
Other providers in Wilkes-Barre, PA
- Vanessa L Basara
- Gladys M Basila-King
- Mafdy Basta
- Gregory G. Basting
- Gary R. Batok
- Casey Baumgartner
- Binki Nilesh Baxi
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
All providers in Wilkes-Barre, PA · Cardiovascular Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.