MATTHEW J. BAUCOM RPSGT – NPI #1851488720
Specialist/Technologist, Other
MATTHEW BAUCOM is a technologist located in MEQUON, WI. NPPES has assigned the NPI number 1851488720 to MATTHEW BAUCOM on October 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW BAUCOM below.
NPI Profile for
MATTHEW J. BAUCOM
(more than 19 years ago)
STE 109
MEQUON, WI 53092 Phone: (262) 241-8022 Fax: (262) 241-8047
APT #2
PORT WASHINGTON, WI 53074 Phone: (262) 894-6833 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 246ZE0600X - Specialist/Technologist, Other / Electroneurodiagnostic (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.