ARISTIDES M BAUTISTA (NPI# 1184927592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184927592 |
| Entity Type | Individual |
| Full Name | ARISTIDES M BAUTISTA |
| Credential | PAC |
| Practice Address |
940 W Pinon St Farmington NM 87401 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096349 |
| Practice Fax Number | 5056096348 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2006-0054 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
940 W PINON ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508978511 | Francisco Colon | Internal Medicine | 940 W Pinon St, Farmington, NM 87401 | 2006-08-31 |
| 1952902934 | Kyle Ellis Ruckman | Physician Assistant | 940 W Pinon St, Farmington, NM 87401-5905 | 2020-11-05 |
| 1639662901 | San Juan Regional Medical Center Inc | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2018-06-12 |
| 1336244607 | James J Spence | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2006-09-13 |
| 1710099726 | Four Corners Gastroenterology Consultants PC | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730125386 | Randall D. Gauvin | Physician Assistant | Franklin Memorial Hospital, 111 Franklin Health Commons, Farmington, ME 04938 | 2006-06-21 |
| 1194262006 | Brittany N. Rogers | Physician Assistant | 540 Maple Valley Dr, Farmington, MO 63640-1981 | 2017-01-30 |
| 1528430501 | Stephen Smith | Physician Assistant | 1001 W Broadway, Farmington, NM 87401-5638 | 2015-10-29 |
| 1972944957 | Megan S Stock | Physician Assistant | 406 Farmington Ave, Farmington, CT 06032-1964 | 2013-07-08 |
| 1336499458 | Ryane Elaine Fitzwater | Physician Assistant | 1101 W Liberty St, Ed Department, Farmington, MO 63640-1921 | 2012-09-17 |
| 1972859403 | Cody W Lewis | Physician Assistant | 1001 W Broadway, Farmington, NM 87401 | 2012-08-02 |
| 1124299813 | Angela M Hager | Physician Assistant | 100 Main St, Farmington, WV 26571-0029 | 2008-03-20 |
| 1417126087 | Michael E Tortorello I | Physician Assistant | 21 South Rd, Dermatology, Farmington, CT 06032-2410 | 2008-02-27 |
| 1457530743 | Susan Rammer Huntington | Physician Assistant | 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 | 2007-11-02 |
| 1992906341 | Farmington Emergency Group LLC | Physician Assistant | 1212 Weber Road, Farmington, MO 63640-3309 | 2007-05-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ARISTIDES M BAUTISTA.
| 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.