Active NPI
Aubrey Hughes Bauer, PA
- Physician Assistant
- Mt Pleasant, SC
National Provider Identifier
1962830703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TL 1982
- Practice address
- 1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686 - Phone
- (843) 853-7730
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TL 1982 | SC | Primary |
Addresses
Primary practice location
1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686
Mailing address
1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1982 | SC | MD | Occupational Therapist |
| TL 1982 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Surgical Specialists, LLC | Current | Accepting new patients |
Locations
1439 Stuart Engals Blvd
Mount Pleasant, SC 29464
1439 Stuart Engals Blvd
Unit 100
Mt Pleasant, SC 29464
Phone (843) 531-6615
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.
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- Mt Pleasant, SC
- NPI 1760411896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1962830703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 STUART ENGALS BLVD",
"address_2": "STE 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 STUART ENGALS BLVD",
"address_2": "STE 100",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643686",
"telephone_number": "843-853-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "AUBREY",
"middle_name": "HUGHES",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "TL 1982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.