NPI 1790774768 · live from the CMS NPI Registry
Terry D Bauch, M.D.
Internal Medicine, Cardiovascular Disease in Wilkes-Barre, PA. National Provider Identifier 1790774768, active.
NPI record
| NPI | 1790774768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1000 East Mountain Blvd., Wilkes-Barre, PA 18711 |
| Practice phone | 570-808-6020 |
| Mailing address | 100 N Academy Ave, Danville, PA 17822 |
| Enumerated | October 20, 2005 |
| Last updated | July 13, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 0101273997 (VA) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | K6811 (TX) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD052361L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.