Physician Compare National (NPI:1215935952)

HEALTHCARE PROVIDER: RONALD L. BAUER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215935952
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698766681
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181110000160
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAUER
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SUMMIT MEDICAL GROUP ARIZONA LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173872835
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	49
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	14418 W MEEKER BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	SUN CITY WEST
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853755290
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6235849500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030030
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ABRAZO CENTRAL CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HONORHEALTH JOHN C LINCOLN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y