Rogelio L Bautista in Macon - Surgery

Rogelio L Bautista - NPI 1164414660

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
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
Provider Enumeration Date 2005-08-19
Last Updated Date 2012-09-24

Provider Mailing Address Detail

Address 1201 N Rutherford St
City Macon
State Missouri (MO)
Post Code 635522020
Phone Number 6603858900
Fax Number 6603858708

Provider's Primary Taxonomy Detail

Speciality Surgery
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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FAQs about Rogelio L Bautista

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.

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