FRED BAURER (NPI# 1477676328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477676328 |
| Entity Type | Individual |
| Full Name | FRED BAURER |
| Credential | M.D. |
| Practice Address |
111 N 49th St Philadelphia PA 19139-2718 |
| Mailing Address |
104 Anton Rd Wynnewood PA 19096-1226 |
| Practice Telephone | 2154712807 |
| Practice Fax Number | 2154712897 |
| Mailing Fax Number | 6106493762 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD-033765-E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
111 N 49TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390561 | Corecare Behavioral Health | Rehabilitation, Substance Use Disorder Unit | 111 N 49th St, Philadelphia, PA 19139-2718 | 2005-07-15 |
| 1700360724 | Chinyere Adama Enyia | Nurse Practitioner | 111 N 49th St, Philadelphia, PA 19139-2718 | 2018-09-17 |
| 1790095933 | John David Nicholson Jr. | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2010-10-20 |
| 1891014783 | West Philadelphia Community Mental Health Consortium | Early Intervention Provider Agency | 111 N 49th St, Early Intervention Program, Philadelphia, PA 19139-2718 | 2010-05-18 |
| 1275787731 | Bella Yampolsky | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-11-11 |
| 1558520841 | Corecare Behavioral Health Management, Inc. | Clinic/Center | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-06-03 |
| 1861676801 | Erica M Brendel | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-12-27 |
| 1891974424 | Stephen Karafelli | Social Worker | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-10-31 |
| 1699963736 | First Home Care Corporation | Community/Behavioral Health | 111 N 49th St, 1st Floor, Philadelphia, PA 19139-2718 | 2007-10-12 |
| 1841312196 | Kambeze Banan Etemad | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983563 | Alla Fine | Psychiatry & Neurology | 6404 Roosevelt Blvd Ste 1c, Philadelphia, PA 19149-2943 | 2009-06-29 |
| 1205832201 | Henry R Kranzler | Psychiatry & Neurology | 3900 Chestnut St, Philadelphia, PA 19104-3120 | 2005-06-23 |
| 1124631767 | The Art of Wellness Md | Psychiatry & Neurology | 610 Walnut St, Philadelphia, PA 19106 | 2020-08-24 |
| 1427438571 | Rayek Nafiz | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2015-06-04 |
| 1518383587 | Jaakko Lappalainen | Psychiatry & Neurology | 3900 Woodland Ave, Va/mirecc, Philadelphia, PA 19104-4551 | 2014-03-13 |
| 1467526756 | David L Buch | Psychiatry & Neurology | 822 Pine St, Suite 1a, Philadelphia, PA 19107-6187 | 2006-11-20 |
| 1841226545 | Elmer Yu | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113637 | Blue Mountain Wellness, Pllc | Psychiatry & Neurology | 415 W Main St Ste 105, Lansdale, PA 19446-2062 | 2019-06-19 |
| 1952546780 | Herbert J. Steinberg | Psychiatry & Neurology | 1000 Hemlock Farms, Lords Valley, PA 18428-9066 | 2008-12-08 |
| 1639329840 | Altaf Suleman Kasmani | Psychiatry & Neurology | 226 N 6th St, Reading, PA 19601-3308 | 2008-09-24 |
| 1386650463 | Alexandra B Mclean | Psychiatry & Neurology | 150 Stafford Avenue - Bldg. 1 - 2nd Floor, Suite 210, Wayne, PA 19087-3114 | 2006-07-31 |
| 1437198363 | John J Worthington Md | Psychiatry & Neurology | 1000 York Rd, Willow Grove, PA 19090-1318 | 2006-06-06 |
| 1437352887 | Julie Kmiec | Psychiatry & Neurology | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-06-05 |
| 1538215926 | Fayette Co. Drug & Alcohol Commission, Inc. | Psychiatry & Neurology | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2007-01-26 |
| 1386707719 | Raymond A Johnson | Psychiatry & Neurology | 134 W Market St, Lewistown, PA 17044-2129 | 2006-12-18 |
| 1821038134 | Sharon Regional Health System | Psychiatry & Neurology | 740 E State St, Behavioral Health Dept., Sharon, PA 16146-3328 | 2006-06-07 |
| 1659330355 | Margaret A Jarvis | Psychiatry & Neurology | Lily Lake Rd, Waverly, PA 18471 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.