DR. JUAN GUILLERMO BASTIDAS (NPI# 1033301080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033301080 |
| Entity Type | Individual |
| Full Name | DR. JUAN GUILLERMO BASTIDAS |
| Credential | M.D. |
| Practice Address |
613 23rd St Ste 210 Ashland KY 41101-2868 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063269847 |
| Practice Fax Number | 6063243418 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD.201742 | LA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 49423 | KY | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | A115149 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100454120 | 05 | |
| OH | 0193538 | 05 |
| Street Address |
613 23RD ST STE 210 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989751 | Robert T Fried | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St Ste 210, Ashland, KY 41101-2868 | 2005-08-10 |
| 1245884089 | Angela Geary | Nurse Practitioner | 613 23rd St Ste 210, Ashland, KY 41101-2868 | 2019-07-30 |
| 1134484892 | Kings Daughters Medical Specialties Inc. | Internal Medicine | 613 23rd St Ste 210, Ashland, KY 41101-2868 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989751 | Robert T Fried | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St Ste 210, Ashland, KY 41101-2868 | 2005-08-10 |
| 1235365537 | Kentucky Heart Institute Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St, Suite 210, Ashland, KY 41101-2878 | 2009-06-02 |
| 1750465563 | Heuer & Associates, Psc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St, Suite 210, Ashland, KY 41101-2878 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982066197 | Rebecca Lee Phillip | Thoracic Surgery (Cardiothoracic Vascular Surgery) | University of Kentucky, Dept. of Cardiothoracic Surgery, 740 South Limestone, Suite A301, Lexington, KY 40536 | 2016-03-26 |
| 1982020418 | Abdulla Attum Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 332 W Broadway Ste 404, Louisville, KY 40202-2116 | 2014-03-07 |
| 1578988408 | Paul Anthony Spence | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5818 Orion Rd, Louisville, KY 40222-5976 | 2014-03-01 |
| 1013159540 | Jordan Miller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone Rm A301, Lexington, KY 40536-0001 | 2009-03-30 |
| 1255586855 | Thomas A. Donohue, Md, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 119 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2008-11-24 |
| 1194914911 | Zahi Hamdi Masri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5308 Indian Crest Rd, Louisville, KY 40207-1676 | 2007-10-17 |
| 1649313164 | Kentucky Cardiothoracic Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 350 Hospital Way Ste 220, Somerset, KY 42503-1877 | 2007-02-14 |
| 1275670556 | Angela L Mahan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4003 Kresge Way Ste 224, Louisville, KY 40207 | 2007-01-30 |
| 1477609154 | Deborah Kozik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2007-01-26 |
| 1790888113 | Robert K Salley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1401 Harrodsburg Rd Ste B275, Lexington, KY 40504-1775 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JUAN GUILLERMO BASTIDAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.