Bautista Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAUTISTA MEDICAL CLINIC

Practice address

161 West Ave
Mt Washington, KY 40047-7636

Phone

(502) 538-7425

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fe L. Bautista, M.D.

Title

Co-Owner

Phone

(502) 538-7425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1639472020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WEST AVE",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477636",
            "telephone_number": "502-538-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WEST AVE",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477636",
            "telephone_number": "502-538-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUTISTA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "FE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-538-7425",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.