DR. SIDNEY LINCOLN BAUCOM (NPI# 1629210372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629210372 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY LINCOLN BAUCOM |
| Other Name | SID BAUCOM |
| Credential | M.D. |
| Practice Address |
5848 S Fashion Blvd Ste 110 Salt Lake City UT 84107-6175 |
| Practice Telephone | 8013145025 |
| Practice Fax Number | 8013144015 |
| Mailing Telephone | 8013145025 |
| Mailing Fax Number | 8013144015 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2015-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
9434735-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5848 S FASHION BLVD STE 110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-6175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382050 | Samuel Stephen Richards | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-12-21 |
| 1396283248 | Bradley Orin Stevens | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-02-10 |
| 1629516166 | Trevor Scott Butler | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2017-02-04 |
| 1265861892 | Bradley Charles Burton | Physician Assistant | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2013-11-04 |
| 1811095326 | Patrick R Olson | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2006-09-20 |
| 1003823808 | Jared C Dunn | Emergency Medicine | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891952545 | Valerie Marie Wolfe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2008-05-20 |
| 1629168216 | Don A. Coleman | Orthopaedic Surgery | 590 Wakara Way, Salt Lake City, UT 84108-1200 | 2006-10-13 |
| 1487680609 | University of Utah Orthopedic Consultants | Orthopaedic Surgery | 590 Wakara Way, Salt Lake City, UT 84108-1200 | 2006-06-23 |
| 1821080326 | J Eric Vanderhooft | Orthopaedic Surgery | 1160 E 3900 S, #5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1891787339 | Christopher H Martin | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932261005 | Robert H Horne | Orthopaedic Surgery | 3015 Mount Jordan Rd, Sandy, UT 84092-3384 | 2006-12-15 |
| 1205939089 | Curtis C Johnson | Orthopaedic Surgery | 1055 N 500 W Ste 207, Provo, UT 84604-3305 | 2006-09-06 |
| 1417268368 | David Erik Peterson | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2010-06-25 |
| 1346491917 | Laird S Swensen | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-10-01 |
| 1104000637 | Allen R Groebs Md PC | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2007-12-19 |
| 1275714115 | William Frederick Gowski | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2007-11-20 |
| 1558550319 | Cache Orthopaedics PC | Orthopaedic Surgery | 2380 N 400 E, Ste G, Logan, UT 84341-1749 | 2007-10-17 |
| 1750599171 | Jonathan A Donigan | Orthopaedic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2007-05-18 |
| 1356470033 | Brett Evan Richards | Orthopaedic Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2007-03-05 |
| 1720123383 | Ihc Health Services Inc | Orthopaedic Surgery | 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403-3271 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.