Eliseo A Bautista (NPI# 1073566048, PAC ID# 5597665612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073566048 |
| PAC ID by PECOS | 5597665612 |
| Professional Enrollment ID | I20040113000471 |
| Full Name | Eliseo A Bautista |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Address |
5855 Bremo Rd Suite 506 Richmond VA 23226-1925 |
| Phone Number | 8042853225 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3072411479 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 | 8042853225 | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James H Cane | Gynecological Oncology | Bon Secours-virginia Healthsource | 8266 Atlee Rd, Suite 215, Mechanicsville, VA 23116-1805 |
| Maya W Paige | Nurse Practitioner | Bon Secours-virginia Healthsource | 1362 Tappahannock Blvd, Store 2118, Tappahannock, VA 22560-9309 |
| Pamela R Webb | Nurse Practitioner | Bon Secours-virginia Healthsource | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Street Address |
5855 BREMO RD SUITE 506 |
| City | RICHMOND |
| State | VA |
| Zip | 23226-1925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seema K Patel | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Souheil G Abou Assi | Gastroenterology | Gastrointestinal Specialists Inc | 5855 Bremo Rd, Suite 706, Richmond, VA 23226-1926 |
| Paul A Ghaemmaghami | Colorectal Surgery (proctology) | 5855 Bremo Rd, Suite 101, Richmond, VA 23226-1926 | |
| James R Daniels Jr. | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| Dana Taylor | Certified Nurse Midwife (cnm) | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Jayant P Talreja | Gastroenterology | Gastrointestinal Specialists Inc | 5855 Bremo Rd, Suite 706, Richmond, VA 23226-1926 |
| Caroline M Wichman | Nurse Practitioner | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Janice M Hagan | Physician Assistant | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Andrew C Schutrumpf | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Amy C Mcconnell | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah R Demm | Clinical Psychologist | Greater Virginia Medical Group | St Mary's Hospital, Richmond, VA 23226 |
| Alan F Kleinkopf | Psychologist, Clinical | 5315 Cutshaw Ave, Richmond, VA 23226-1105 | |
| Paige T Obrien | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Terence D Reaves | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Robert Williams Martin | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Susan M Archer | Clinical Social Worker | Susan Archer, Inc. | 1007 Peachtree Blvd, Richmond, VA 23226-1136 |
| Monroe E Harris Jr. | Maxillofacial Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| Neil Agnihotri | Oral Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| William D Dymon | Maxillofacial Surgery | Niamtu and Alexander Oral and Maxillofacial Surgery PC | 5224 Monument Ave, Richmond, VA 23226-1405 |
| Thomas B Leecost | Podiatry | 5500 Monument Ave, Suite E, Richmond, VA 23226-1452 | |
| Find all physicians in zip 23226 | |||
| City | RICHMOND |
| Zip Code | 23226 |
| Specialty | GENERAL SURGERY |
| City + Specialty | RICHMOND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Eliseo A Bautista.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.