Dr Manuel Baustista,Inc,P.S.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DR MANUEL BAUSTISTA,INC,P.S.

Practice address

9115 Bridgeport Way SW
Suite #1
Lakewood, WA 98499-2449

Phone

(253) 581-6303

Fax

(253) 581-3316

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Bautista, M.D.

Title

President

Phone

(253) 581-6303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carol A. Sheean, MSW

  • Clinical Social Worker
  • Tacoma, WA
  • NPI 1073520433
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1184883324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39398",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963398",
            "telephone_number": "253-581-6303",
            "fax_number": "253-581-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 BRIDGEPORT WAY SW",
            "address_2": "SUITE #1",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992449",
            "telephone_number": "253-581-6303",
            "fax_number": "253-581-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MANUEL BAUSTISTA,INC,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-581-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Downs
• Terri Lois Downs, LMP
• Tyrell Dozier
• Dr Joseph Paul Clabots
• Dr Kwons Family Practice Inc
• Dr. Nancy K. Rothbauer
• Dr.G
• Drangsholt Dental
• Drangsholt Orthodontics
• Connor James Drangsholt, DMD

• Neurology Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.