Angelina A Bautista, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35045794B Issued in OH

Practice address

7007 Powers Blvd
Parma, OH 44129-5437

Phone

(440) 743-4356

NPI assigned

Dec 15, 2005

Last updated

Jun 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1780660415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29220",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441290220",
            "telephone_number": "440-743-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 POWERS BLVD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295437",
            "telephone_number": "440-743-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "ANGELINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35045794B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Rae Barton, PA-C
• Baseline Health Certs LLC
• Lacie Battaglia
• Terssa Marie Battaglia, M.A. SLP
• Tia Tyawna Battle, LPN
• Ahmet Bayar, M.D.
• Jennifer Marie Bayorek, PHARMD
• Maria Christine Baytosh, CRNA
• Charles Leo Beatty III, DPM
• Kenneth Michael Bebenroth

• Specialist in Parma, OH
• Providers in Parma, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.