WILBUR DOMENDEN BAUTISTA (NPI# 1205315983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205315983 |
Entity Type | Individual |
Full Name | WILBUR DOMENDEN BAUTISTA |
Practice Address |
1901 S Union Ave Bldg B Ste 2011 Tacoma WA 98405 |
Mailing Address |
4253 E Roosevelt Ave Tacoma WA 98404-4659 |
Practice Telephone | 2532720324 |
Practice Fax Number | 2532720490 |
Mailing Telephone | 8083877618 |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
1901 S UNION AVE BLDG B STE 2011 |
City | TACOMA |
State | WA |
Zip Code | 98405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720564925 | Acts Pharmacy and Healthcare Services, LLC | Pharmacy | 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405 | 2018-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851911275 | Evangeline Abelgas | Spec/Tech, Pathology | 6826 20th St E Unit 1, Fife, WA 98424-3516 | 2020-04-27 |
1316233992 | Scott Robert Gordon | Spec/Tech, Pathology | 330 Merlot Dr # 41, Prosser, WA 99350-9551 | 2011-06-22 |
1538346648 | Nancy Christine Hall | Spec/Tech, Pathology | 29 Nespelem/san Poil Street, Nespelem, WA 99155-0071 | 2008-01-31 |
1811179864 | Richard Edward Vroman | Spec/Tech, Pathology | 101 N 54th Ave, Yakima, WA 98908-3147 | 2007-12-01 |
1225183304 | Nathan O. Town | Spec/Tech, Pathology | 401 Buster Rd., Toppenish, WA 98948 | 2007-01-25 |
1174607931 | Sandra Lee Nomee | Spec/Tech, Pathology | 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 | 2006-10-25 |
1073805164 | Kathryn Elkins | Spec/Tech, Pathology | 401 Buster Rd, Toppenish, WA 98948-9792 | 2011-05-06 |
1831421460 | Chester Alan Lubrin Flores | Spec/Tech, Pathology | 921 Terry Ave, Seattle, WA 98104-1239 | 2010-02-08 |
1326122540 | James R Moore | Spec/Tech, Pathology | 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 | 2006-10-24 |
Please comment or provide details below to improve the information on WILBUR DOMENDEN 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.