Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD008690E | PA |
N | 208600000X | Surgeon | MD008690E | PA |
Y | 2086X0206X | Surgical Oncologist | MD008690E | PA |
NPI | 1225033665 |
---|---|
Provider Name | Dr. Thomas L Bauer |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17404-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 30/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000633908 | (05) | PA |
033227 | JOHNS HOPKINS (01) | PA |
1514989 | GATEWAY-WMG (01) | PA |
20082424 | AMERIHEALTH MERCY-WMG (01) | PA |
261030 | UNISON-WMG (01) | PA |
50083177 | CAPITAL BLUE CROSS-WMG (01) | PA |
548797 | CAREFIRST MD BCBS (01) | PA |
578713 | HIGHMARK BLUE SHIELD (01) | PA |
B33321 | (02) | PA |