MRS. NISHA RAY BAUR


Address: Bldg 569 Hill Afb, Clearfield, UT 84056
Phone: 8017774710

MRS. NISHA RAY BAUR (NPI# 1780838789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780838789
Entity Type Individual
Full Name MRS. NISHA RAY BAUR
Credential DO
Practice Address Bldg 569 Hill Afb
Clearfield
UT 84056
Mailing Address Po Box 337
Layton
UT 84041-0337
Practice Telephone 8017774710
Practice Fax Number 8017753897
Mailing Telephone 8017734840
Mailing Fax Number 8015258151
Enumeration Date 2008-11-05
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 7152185-1204 UT Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 7152185-1204 UT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2121 N 1700 W, Layton, UT 840418803 8017734840 8015258151

Office Location

Street Address BLDG 569 HILL AFB
City CLEARFIELD
State UT
Zip Code 84056

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629639885 Brian A Silva Physician Assistant 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 2019-06-27
1245767045 Keith Mele Pharmacist 7457 Weiner Street, Hill Air Force Base, UT 84056 2017-05-11
1235513540 Joshua David Stumpf Military Health Care Provider 570 Balmer Street, Hill Afb, UT 84056 2015-07-16
1194107912 Kelly Johnson Social Worker 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 2015-06-29
1831449156 Curt G Martin Dentist 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 2012-09-13
1811253222 Tiffany Amber Brakefield Psychologist 7309 Balmer St Bldg 545, Hill Afb, UT 84056 2012-04-10
1982910907 Peter Shigeki Frandsen Dentist 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 2010-08-27
1861625436 Michael David Brewer Family Medicine 7321 Balmer Ave, Hill Afb, UT 84056 2009-08-31
1629230669 Elizabeth A. Sherlock Psychologist 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 2008-07-01
1922292671 Jared Richardson Dentist 75th Dental Squadron Hill Afb, Layton, UT 84056 2007-09-05
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1790297661 The Bridge Recovery Center General Practice 98 N 6680 W, Hurricane, UT 84737-6138 2017-10-31
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Competitor

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City CLEARFIELD
Zip Code 84056

Improve Information

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Dataset Information

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.

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