Dr. Mario Bautista
MD | Pediatrics | Male
Dr. Mario Bautista, MD is a Jackson, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mario Bautista is
1000 Veterans Dr, Jackson, Ohio - 45640-9586. He can be contacted on phone at
740-395-8090 and fax number 740-395-8197.
Dr. Mario Bautista is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mario Bautista is
1619955192 which was assigned by NPPES on 05 Jan, 2006 and it was last updated on 25 Nov, 2020.
Dr. Mario Bautista license number is
35.089012 for Pediatrics (208000000X) in Ohio.
Dr. Mario Bautista is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mario Bautista basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mario Bautista |
|---|
| Credential : | MD |
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| Gender : | Male |
|---|
Business Address:
Dr. Mario Bautista address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1000 Veterans Dr
Jackson, OH, 45640-9586
United States |
|---|
| Phone Number : | 740-395-8090 |
|---|
| Fax Number : | 740-395-8197 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619955192 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jan, 2006 |
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| Last Updated On : | 25 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mario Bautista are as mentioned. Primary taxonomy code for Dr. Mario Bautista, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2004-0547 | NM |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 2004-0547 | NM |
| 208000000X | Pediatrics | Yes | 35.089012 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mario Bautista such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 99238071 | MEDICAID | NM | |
| NM009R63 | Other | NM | BC/BS |
| PROVP11655 | Other | NM | MOLINA |
| 201047701 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| 10016535 | Other | NM | LOVELACE HEALTH/SALUD |
| 885808 | Other | AZ | AHCCCS |
| P00137209 | Other | | RAILROAD MEDICARE |
| 2711211 | MEDICAID | OH | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | adena.fam.med.jackson@adena.medicity.net
| No affiliation |
|
| 1000 VETERANS DR,
JACKSON, OH, 45640-9586
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 272 Hospital Rd Ste 6
Chillicothe, OH, 45601-9031
United States |
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| Phone Number : | 740-779-4275 |
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| Fax Number : | 740-779-4257 |
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Business Location:
Patients can refer following map for directions to
Dr. Mario Bautista practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.