ROBERTO BEJARANO CARRASCO


Address: 1911 Port Lane St 2, Amarillo, TX 79106
Phone: 8063599100

ROBERTO BEJARANO CARRASCO (NPI# 1740364652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740364652
Entity Type Individual
Full Name ROBERTO BEJARANO CARRASCO
Credential MD
Practice Address 1911 Port Lane St 2
Amarillo
TX 79106
Mailing Address 1911 Port Ln Ste 2
Amarillo
TX 79106-2470
Practice Telephone 8063599100
Practice Fax Number 8063597022
Mailing Telephone 8063599100
Mailing Fax Number 8063597022
Enumeration Date 2006-10-25
Last Update Date 2011-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology J1914 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX AETNA 5489017 01
TX BCBS 848605 01

Office Location

Street Address 1911 PORT LANE ST 2
City AMARILLO
State TX
Zip Code 79106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
Find all providers in zip 79106

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386124204 Drona Astra LLC Obstetrics & Gynecology 8901 Witmer Ct, Amarillo, TX 79119-1342 2018-08-20
1013171008 Carol Kiesling, M.d., P.a. Obstetrics & Gynecology 10200 Kukihalo Rd, Amarillo, TX 79124-0700 2008-07-18
1104908185 Londa G Carrasco Obstetrics & Gynecology 1911 Port Ln Ste 2, Amarillo, TX 79106-2470 2006-10-19
1649366154 Michael D Williams Obstetrics & Gynecology 6009 Belpree Rd, Amarillo, TX 79106-3302 2006-10-04
1124037122 Pablo R. Diaz-esquivel Obstetrics & Gynecology 1600 Coulter, Building E Suite 703, Amarillo, TX 79106-1776 2006-08-07
1932131794 Arturo Carrillo Obstetrics & Gynecology 1911 Port Lane, Amarillo, TX 79106-2470 2006-07-06
1942239488 Women's Healthcare Associates, Pllc Obstetrics & Gynecology 1301 S Coulter, Suite 300, Amarillo, TX 79106 2006-06-30
1407894686 Douglas R Shelton Md Pa Obstetrics & Gynecology 1901 Medi Park Dr Ste 6, Amarillo, TX 79106-2105 2006-06-02
1639157860 Brian Scott Lindstrom Obstetrics & Gynecology 7620 Wallace Blvd, Amarillo, TX 79124-2154 2006-01-06
1790782951 Martin Andrew Hands Obstetrics & Gynecology 7809 Tripp, Amarillo, TX 79121 2005-07-02
Find all providers in AMARILLO

Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

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.

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