Physician Compare National (NPI:1306126552)

HEALTHCARE PROVIDER: RICHARD T BAUER III D.P.M.

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

Individual Professional Information
NPI	1306126552
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103069885
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130926000001
	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	RICHARD
	Individual professional first name
Provider Middle Name	THOMAS
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1072 TROY SCHENECTADY RD
	Group Practice or individual's line 1 address
City	LATHAM
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	121101025
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330180
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y