Joyce Bauer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26747 Issued in WI

Practice address

520 W 3Rd St
Kimberly, WI 54136-1300

Phone

(920) 788-7680

Fax

(920) 788-7688

NPI assigned

Aug 3, 2006

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jbauer11627@direct.thedacare.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1821006271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8003",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128003",
            "telephone_number": "920-996-3298",
            "fax_number": "920-738-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 3RD ST",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541361300",
            "telephone_number": "920-788-7680",
            "fax_number": "920-788-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30843500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "005845003",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Anderson, APNP, FNP-C
• Jeslyn Andrews
• Appleton Wellness Way LLC
• Ashley Claire Arnoldussen
• Jenna Asplin
• Sarah M Beckman, LPC
• Edward Theodore Bekx, DDS
• Beth Marie Bennin, PHARMD
• Carolyn Blanc, MD
• Boots Chiropractic and Wellness Center, S.C.

• Family Medicine Physician in Kimberly, WI
• Providers in Kimberly, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.