KIMBERLY ANN BAUER (NPI# 1295946473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295946473 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN BAUER |
| Credential | M.D. |
| Practice Address |
1124 Essington Rd Joliet IL 60435-8423 |
| Mailing Address |
1850 Gateway Dr Sycamore IL 60178-3192 |
| Practice Telephone | 8157448554 |
| Mailing Telephone | 8157588674 |
| Mailing Fax Number | 8157587298 |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036130506 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE INDIVIDUAL | F400368523 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679798789 | Kimberly Kaye Clark Bauer | Nurse Anesthetist, Certified Registered | 3333 Burnet Ave # Mlc2001, Cincinnati, OH 45229-3026 | 2007-04-16 |
| 1295234417 | Kimberly Bauer | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-02-02 |
| 1205213642 | Kimberly Bauer | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2015-05-06 |
| 1992097810 | Kimberly Bauer | Nurse Anesthetist, Certified Registered | 301 Prospect Ave, Anesthesia Group of Onondaga, PC, Syracuse, NY 13203-1807 | 2011-05-11 |
| 1245553221 | Kimberly Bauer | Pharmacist | 2000 Kensington Ave, Amherst, NY 14226-4611 | 2010-03-05 |
| 1063678258 | Kimberly Ann Bauer | Case Manager/Care Coordinator | 211 Church St, Cramer House, Saratoga Springs, NY 12866-1003 | 2008-08-06 |
| 1184810095 | Kimberly K Bauer | Counselor | 1237 W Divide Ave, Ste 5, Bismarck, ND 58501-1208 | 2007-09-25 |
| 1033223607 | Kimberly Eldridge Bauer | Physical Therapist | 1001 Cherry Blossom Way, Toyota, Georgetown, KY 40324-9564 | 2006-08-19 |
| Street Address |
1124 ESSINGTON RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252426 | Laurel Melissa Poole | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-04-06 |
| 1861930984 | Pinnacle Dermatology, Sc | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2017-02-09 |
| 1598039711 | Monika D Kaniszewska | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2012-03-06 |
| 1194010157 | Blake M Troiani | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-06-17 |
| 1114216363 | Bernardino Michael Mendez | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-03-28 |
| 1821166505 | Teryn Elizabeth Honeycutt | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8446 | 2006-12-01 |
| 1700987328 | Dermatology and Plastic Surgery Associates, S.c. | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-09-26 |
| 1699888644 | Jose Luis Rios | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| 1437262482 | Paula Kaye Lapinski | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039493 | Reena Varade | Dermatology | 330 Madison St Ste 301, Joliet, IL 60435-6576 | 2013-05-08 |
| 1689743783 | Renuka H Bhatt Mdsc | Dermatology | 2202 Essington Rd, Suite 101, Joliet, IL 60435-1634 | 2006-11-06 |
| 1598039711 | Monika D Kaniszewska | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2012-03-06 |
| 1194010157 | Blake M Troiani | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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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.