ALFREDO AYO BANTUG JR. (NPI# 1477176931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477176931 |
| Entity Type | Individual |
| Full Name | ALFREDO AYO BANTUG JR. |
| Credential | RRT |
| Practice Address |
Fort Defiance Hosp[ital Fort Defiance Indian Hospital Fort Defiance AZ 86504-3166 |
| Mailing Address |
3802 Shady Village Ln Shafter CA 93263-3166 |
| Practice Telephone | 2096655890 |
| Mailing Telephone | 2096655890 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | 15897 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
FORT DEFIANCE HOSP[ITAL FORT DEFIANCE INDIAN HOSPITAL |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 86504-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682846 | Melissa Schuch | Respiratory Therapist, Registered | Corner of Routes 12&7 #649, Fort Defiance, AZ 86504-0589 | 2020-06-02 |
| 1861015117 | Luis Castro | Respiratory Therapist, Registered | Corner Or Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-21 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1194348524 | Shanna Michelle George | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-20 |
| 1285145425 | Caitlin Nystrom | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86505-0649 | 2017-10-16 |
| 1215448451 | William J Garner | Respiratory Therapist, Registered | Corner Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2017-10-16 |
| 1265729610 | Dan Smith IIi | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1407466907 | John Louis Hawk | Respiratory Therapist, Registered | 3451 S Mercy Rd Ste 102, Gilbert, AZ 85297-0206 | 2020-08-09 |
| 1285282855 | Breathe Easy Medical Solutions LLC. | Respiratory Therapist, Registered | 18490 W Louise Dr, Surprise, AZ 85387-1470 | 2019-08-28 |
| 1821562885 | Stephen Lynn Peterson II | Respiratory Therapist, Registered | 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 | 2019-01-13 |
| 1134614076 | Jenna Rose Wade | Respiratory Therapist, Registered | 213 E Calle Zafiro, Tucson, AZ 85704-6629 | 2018-06-23 |
| 1700384864 | John Durham | Respiratory Therapist, Registered | 5061 W Kingbird St, Tucson, AZ 85742-5116 | 2018-01-24 |
| 1285168088 | Young Nickels | Respiratory Therapist, Registered | 7824 E Jack Oak Rd, Tucson, AZ 85756-6110 | 2017-04-18 |
| 1760924757 | Jose Santos Urias | Respiratory Therapist, Registered | 3601s 6th Ave, Tucson, AZ 85723 | 2016-11-08 |
| 1215387063 | Danitza Areli Gonzalez | Respiratory Therapist, Registered | 5110 E Vista Grande Rd, Hereford, AZ 85615-8521 | 2016-06-13 |
| 1710345111 | Andrea Shea Kissinger | Respiratory Therapist, Registered | 1000 Via Cabrillo, Sierra Vista, AZ 85635-4459 | 2016-02-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT DEFIANCE |
| Zip Code | 86504 |
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| 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.