BAUTISTA MEDICAL CLINIC (NPI# 1639472020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639472020 |
| Entity Type | Organization |
| Organization Name | BAUTISTA MEDICAL CLINIC |
| Practice Address |
161 West Ave Mt Washington KY 40047-7636 |
| Practice Telephone | 5025387425 |
| Mailing Telephone | 5025387425 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | FE L. BAUTISTA (CO-OWNER) |
| Authorized Official Telephone | 5025387425 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
161 WEST AVE |
| City | MT WASHINGTON |
| State | KY |
| Zip Code | 40047-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1912441593 | Molly Ernspiker | Pharmacist | 634 North Bardstown Road, Mount Washington, KY 40047 | 2016-12-15 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1457695868 | Anjenean Holt | Speech-Language Pathologist | 310 Boxwood Run Rd, Mt. Washington, KY 40047 | 2012-11-26 |
| 1942581715 | Retina Associates, Psc | Technician/Technologist | 10731 Hwy 44 E, Mt Washington, KY 40047 | 2011-09-07 |
| 1831328608 | Deborah L Hargis | Pharmacist | 634 N Bardstown Rd, Mt Washington, KY 40047 | 2009-07-14 |
| 1720244999 | Jason Rodney Wolford | Chiropractor | 138 Eastbrooke Court, Suite 130, Mt. Washington, KY 40047 | 2008-08-06 |
| 1992820849 | Sunrise Children's Services, Inc. | Counselor | 300 Hope Street, Mt. Washington, KY 40047 | 2007-03-20 |
| Find all providers in zip 40047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538295571 | Mt Washington Family Practice Pllc | Family Medicine | 532 Bardstown Rd N, Mt Washington, KY 40047 | 2007-02-26 |
| 1962538918 | Mark Orgel, Md, Pllc | Family Medicine | 532 North Bardstown Road, Mt Washington, KY 40047 | 2007-02-26 |
| 1467554808 | Michael S Payne | Family Medicine | 532 N Bardstown Rd, Mt Washington, KY 40047 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | MT WASHINGTON |
| Zip Code | 40047 |
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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.