NPI 1992480164 · live from the CMS NPI Registry
Ryan Bauermeister, DPM
Podiatrist, Foot & Ankle Surgery in Waterloo, IA. National Provider Identifier 1992480164, active.
NPI record
| NPI | 1992480164 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2055 Kimball Ave Ste 101, Waterloo, IA 50702 |
| Practice phone | 319-272-2529 |
| Mailing address | 131 Rosebud Ave, Waterloo, IA 50701 |
| Enumerated | June 16, 2023 |
| Last updated | June 17, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | 121034 (IA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 121034 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.