DR. AUDREY G BAUER (NPI# 1265400717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265400717 |
| Entity Type | Individual |
| Full Name | DR. AUDREY G BAUER |
| Other Name | DR. AUDREY G BOLANOWSKI |
| Credential | MD |
| Practice Address |
4012 N 9th Ave Pensacola FL 32503-2824 |
| Mailing Address |
11945 San Jose Blvd Ste 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 8504444777 |
| Practice Fax Number | 8504343387 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043964893 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 53119 | CO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101235128 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 024177 | 01 |
| CO | 19730381 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2045 N Franklin St, Denver, CO 80205 | 3033384545 | 3033447715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743246 | Audrey K Bauer | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-07 |
| 1215452057 | Audrey Leigh Bauer | Physical Therapist | 2233 Academy Pl Ste 50, Colorado Springs, CO 80909-1679 | 2017-08-12 |
| Street Address |
4012 N 9TH AVE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436362 | Mark William Houston | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2005-09-06 |
| 1932756178 | James R Piorkowski Md LLC | Orthopaedic Surgery | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2019-08-22 |
| 1689149692 | Amanda Herron | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2018-10-05 |
| 1700386778 | Ortho Florida, LLC | Orthopaedic Surgery | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2018-02-16 |
| 1013337435 | Kelly Demuynck | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2014-04-24 |
| 1194143685 | Neuromicrospine | Specialist | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2014-04-01 |
| 1568690881 | Mark Robert Onady II | Surgery | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2009-06-25 |
| 1588815948 | Dawn M Hendrickson | Occupational Therapy Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2008-10-03 |
| 1467621599 | James Robert Piorkowski | Orthopaedic Surgery | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2008-02-22 |
| 1568673663 | Margaret C Brown | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699337857 | The Surgery Center At Woodlands, LLC | Surgery | 4724 N Davis Hwy Ste 301, Pensacola, FL 32503-2339 | 2019-07-08 |
| 1992068183 | Austin Younger | Surgery | 6000 W Hwy 98 Urology Department, Pensacola, FL 32512-8905 | 2012-06-21 |
| 1669627055 | Jean-pierre Martucci Melo | Surgery | 1717 N E St Ste 205, Pensacola, FL 32501-6336 | 2008-11-26 |
| 1508934555 | Leonardo Villegas | Surgery | 730 Bayfront Pkwy Ste 5a, Pensacola, FL 32502-6250 | 2006-11-30 |
| 1285690669 | Ghazala Farah Rahman | Surgery | 350 W Cedar St, Pensacola, FL 32502-4910 | 2006-04-25 |
| 1932101458 | Robert Bradford Pyle | Surgery | 1310 Sunrunner Road, Pensacola, FL 32504 | 2005-08-15 |
| 1255713772 | John Hahn | Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2015-06-20 |
| 1932474111 | George Heyward Fulghum IIi | Surgery | 5153 N 9th Ave Ste 305, Pensacola, FL 32504-5719 | 2012-03-20 |
| 1811280373 | Daniel Joseph Ballow | Surgery | 1717 N E St, Suite 430, Pensacola, FL 32501-6339 | 2011-05-17 |
| 1386942860 | Jeffrey B. Comitalo, Md, Pa | Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2011-03-07 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.