Arthur Bautista, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARTHUR BAUTISTA, MD

Practice address

2261 NE 36TH St Ste 2
Lighthouse Point, FL 33064-7588

Phone

(954) 786-9552

Fax

(954) 786-9557

NPI assigned

Sep 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Danielle Wanser

Title

Administrator

Phone

(954) 786-9552

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arthur Bautista, MD

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1518995786
  NPD
• Barbara J Kelly, ARNP

  • Family Nurse Practitioner
  • Oviedo, FL
  • NPI 1164745063
  NPD
• Denise Quallo, ARNP

  • Family Nurse Practitioner
  • Lighthouse Point, FL
  • NPI 1528477411
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1104594167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 NE 36TH ST STE 2",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647588",
            "telephone_number": "954-786-9552",
            "fax_number": "954-786-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 NE 36TH ST STE 2",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647588",
            "telephone_number": "954-786-9552",
            "fax_number": "954-786-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR BAUTISTA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "WANSER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-786-9552"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arc Dialysis Pompano Beach LLC
• Arnaldo M Mora MD PA
• Associates in Internal Medicine
• Atlantic Rehabilitation Inc
• Ricardo Atti, PT
• Attune Dentistry PA
• Gia Baillie

• Internal Medicine Physician in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.