DR. GLENN BAUER (NPI# 1780732255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780732255 |
| Entity Type | Individual |
| Full Name | DR. GLENN BAUER |
| Credential | MD |
| Practice Address |
6600 Highland Rd Waterford MI 48327-1673 |
| Practice Telephone | 2486662900 |
| Practice Fax Number | 2486663413 |
| Mailing Telephone | 2486662900 |
| Mailing Fax Number | 2486663413 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301407255 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
6600 HIGHLAND RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881073 | Mark Shain | Dentist | 6600 Highland Rd, Suite 23, Waterford, MI 48327-1673 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598979809 | Mirza Asif Baig | Pediatrics | 4210 Pontiac Lake Road, Waterford Peds, Waterford, MI 48328 | 2007-05-09 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| 1518916147 | Devyani S Khambete | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2006-05-10 |
| 1730187592 | Shamim Islam | Pediatrics | 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 | 2005-07-14 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1023334166 | Naomi Suntal Miller | Pediatrics | 818 Forest Ln, Waterford, WI 53185-4585 | 2010-04-14 |
| 1699934158 | Pinetree Medical Center, PC | Pediatrics | 4186 Pontiac Lake Rd, Waterford, MI 48328-1258 | 2008-06-09 |
| 1972780237 | Nancy M Rofalikos-welka | Pediatrics | 818 Forrest Dr, Waterford, WI 53185-4577 | 2008-01-29 |
| 1114136462 | Devyani Khambete, M.d.,p.c. | Pediatrics | 2561 Elizabeth Lake Rd, Waterford, MI 48328-3313 | 2007-05-22 |
| 1588738330 | Daniel Cheng | Pediatrics | 110 3rd St, Waterford, NY 12188 | 2006-11-20 |
| Find all providers in WATERFORD | ||||
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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.