DR. RAFAEL ANDRES BONILLA VASQUEZ


Address: 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227
Phone: 4175336780

DR. RAFAEL ANDRES BONILLA VASQUEZ (NPI# 1871975896) 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) 1871975896
Entity Type Individual
Full Name DR. RAFAEL ANDRES BONILLA VASQUEZ
Credential M.D.
Practice Address 120 Hospital Dr Ste 200
Lebanon
MO 65536-9227
Practice Telephone 4175336780
Mailing Telephone 4175336780
Enumeration Date 2015-06-25
Last Update Date 2020-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 2019046474 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program BP10053644 TX Student, Health Care

Office Location

Street Address 120 HOSPITAL DR STE 200
City LEBANON
State MO
Zip Code 65536-9227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720216898 Kyle Ward Surgery 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 2009-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537307 Cathy Jane Greenlee Nurse Practitioner 510 Hwy 32, Lebanon, MO 65536 2018-08-10
1396232831 Steven Michael Majdecki Counselor 860 Lynn St., Lebanon, MO 65536 2018-04-19
1447629399 Danielle Craig Speech-Language Pathologist 1200 Clark Ave, Lebanon, MO 65536 2015-09-22
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1194163840 Laura Patton Speech-Language Pathologist 22864 Perimeter Drive, Lebanon, MO 65536 2013-06-04
1750588273 Elaine Britzman Registered Nurse 874 S Jefferson St, Lebanon, MO 65536 2007-06-28
1538363486 Laclede Co. Assoc. for Retarded Citizens Respite Care 200 Lawson Ave., Lebanon, MO 65536 2007-06-13
1568665768 Fern M Klein Registered Nurse 874 S Jefferson, Lebanon, MO 65536 2007-06-06
1639201080 Laclede County Assoc. for Retarded Citizens Day Training, Developmentally Disabled Services 200 Lawson Avenue, Lebanon, MO 65536 2007-03-12
1316078868 Michael Montgomery Od PC Optometrist 279 E Elm, Lebanon, MO 65536 2007-03-08
Find all providers in zip 65536

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720216898 Kyle Ward Surgery 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 2009-06-29
1699943951 Blue Ridge Medical Mangement Corporation Surgery 81 Carroll Street, Lebanon, VA 24266 2008-02-20
1386866853 Raman Kumar Surgery 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 2007-05-03
1194733832 Lebanon Surgical Associates Surgery Carroll & Tate Sts., Suite 4, Lebanon, VA 24266 2006-08-04
1922028711 Terry Wayne Shortridge Surgery 55 Twin Oaks, Suite C-1, Lebanon, OR 97355-2864 2006-07-21
1164451621 Jimmy R Maneksha Surgery 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 2006-06-30
1255383766 Larimore C Warren Surgery 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 2006-05-16
1174571863 Barbara A. Klatchko, M.d., Ltd. Surgery 402 S 12th St, Lebanon, PA 17042-6617 2006-05-04
1215991443 Kevin D Slentz Surgery 429 W Walnut St, Lebanon, KY 40033-1346 2006-04-14
1386612943 Donald Duane Coker Surgery 229 South Fourth Street, Lebanon, PA 17042-1281 2006-03-09
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 65536

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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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