John Pauer

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1001 E 17TH St
Bloomington, IN 47408-1590

Phone

(219) 577-3726

NPI assigned

Dec 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1992170898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 OAK BROOK DR",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463419603",
            "telephone_number": "219-577-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474081590",
            "telephone_number": "219-577-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUER",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Curtis Patrick, RBT
• Kourtney Patrick, MS, RD, LD
• Jade Patterson, RBT
• Mistydawn Patterson, PMH-BC, RN
• Nicholas Pattinson, RBT
• Kathleen Paul, BS
• Susan L. Pauly, PH.D. HSPP
• Suzanne Marie Pauwels, M.S., L.M.H.C.
• Joseph Michael Pavich, ATC, LAT
• Rachel Payne, PMHNP

• Athletic Trainer in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.