Rogelio L Bautista is a Surgery in Macon, Missouri. Rogelio L Bautista practices all healthcare services and medical treatments related to Surgery. The NPI Number for Rogelio L Bautista is 1164414660. The last update date is 2012-09-24.
Rogelio L Bautista's current location address is 1201 N Rutherford St, Macon, Missouri. You can contact this provider via phone number 6603858900 and fax number 6603858708. The mailing address for Rogelio L Bautista is 1201 N Rutherford St, Macon, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Rogelio L Bautista |
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Address | 1201 N Rutherford St, Macon, Missouri |
Phone Number | 6603858900 |
Fax Number | 6603858708 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1164414660 |
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Provider Enumeration Date | 2005-08-19 |
Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
Address | 1201 N Rutherford St |
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City | Macon |
State | Missouri (MO) |
Post Code | 635522020 |
Phone Number | 6603858900 |
Fax Number | 6603858708 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 33051 |
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; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200148807 | MO | -- | |
20245 | MO | ANTHEM BCBS | |
22155151 | MO | TRAVELERS RR MEDICARE |
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What is the unique 10-digit identification code issued to Rogelio L Bautista by the Centers for Medicare & Medicaid Services?
The Rogelio L Bautista has been assigned the NPI (National Provider Identifier) 1164414660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Rogelio L Bautista's physical address?
The Rogelio L Bautista is physically located at 1201 N Rutherford St, in the city of Macon, MO, with the postal code 635522020.
What is Rogelio L Bautista's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rogelio L Bautista's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did Rogelio L Bautista receive its 1164414660 assignment?
The Rogelio L Bautista was assigned its 1164414660 on 2005-08-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Rogelio L Bautista, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rogelio L Bautista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-24.