Individual
KAREN ANN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(132) 467-0005
(513) 246-7590
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(132) 467-0000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
01037574A
IN
207RP1001X
Pulmonary Disease Physician
Primary
35050830
OH
207RP1001X
Pulmonary Disease Physician
39182
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000879842
ANTHEM PROVIDER NUMBER
IN
05
—
0740774
—
OH
05
—
100318160
—
IN
05
—
64930878
—
KY
01
—
H648890
MEDICARE PTAN
OH
Enumeration date
06/08/2006
Last updated
02/11/2019
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