Healthcare Provider Details

I. General information

NPI: 1073190476
Provider Name (Legal Business Name): ELLA D BAUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE MCL 5018
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVENUE MCL 6015
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4315
  • Fax:
Mailing address:
  • Phone: 513-636-0800
  • Fax: 513-803-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.153666
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: