GODOFREDO BAUTISTA PEREZ (NPI# 1083705289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083705289 |
| Entity Type | Individual |
| Full Name | GODOFREDO BAUTISTA PEREZ |
| Credential | M.D. |
| Practice Address |
134 S. Pittsburgh St Connellsville PA 15425 |
| Practice Telephone | 7246280310 |
| Mailing Telephone | 7246280310 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD032299-L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
134 S. PITTSBURGH ST |
| City | CONNELLSVILLE |
| State | PA |
| Zip Code | 15425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272666 | Jennifer Knapp | Counselor | 416 South Pittsburgh Street, Connellsville, PA 15425 | 2016-09-01 |
| 1104290550 | Joseph Slezak | Obstetrics & Gynecology | 159 Keefer Rd, Connesville, PA 15425 | 2015-11-23 |
| 1134564297 | Keli Dawn De Carlo | Counselor | 416 S. Pittsburgh Street, Connellsville Counseling and Psychological Services, Connellsville, PA 15425 | 2013-05-02 |
| 1376823047 | Judith Anne Bell | Family Medicine | 2620-c Memorial Blvd, Highlands Medical, Connellsville, PA 15425 | 2011-08-25 |
| 1891928727 | Laura Ann Barricklow | Pharmacist | 200 Memorial Blvd, Connellsville, PA 15425 | 2009-08-26 |
| 1942323373 | Steven John Roth | Pharmacist | Rt 119 and York Avenue, Connellsville, PA 15425 | 2007-04-09 |
| 1124140694 | Chomiak Dental Associates | Dentist | 215 Noth Pittsburgh Street, Suite B, Connellsville, PA 15425 | 2007-04-04 |
| 1245359470 | Mark A Chemski | Pharmacist | Route 119 and York Ave, Connellsville, PA 15425 | 2007-03-28 |
| 1669590857 | Polepalli S Setty Md Inc | Internal Medicine | 2900 Memorial Blvd, Connellsville, PA 15425 | 2007-03-26 |
| 1376661876 | Connellsville Counseling & Psychological Services | Counselor | 416 South Pittsburgh St, Connellsville, PA 15425 | 2007-03-26 |
| Find all providers in zip 15425 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518369792 | Fayette Physician Network Inc | Family Medicine | 224 Memorial Blvd, Connellsville, PA 15425-2654 | 2014-09-19 |
| 1376823047 | Judith Anne Bell | Family Medicine | 2620-c Memorial Blvd, Highlands Medical, Connellsville, PA 15425 | 2011-08-25 |
| 1467650937 | Tiffany M Lawrence Do | Family Medicine | 2025 Revere Dr, Connellsville, PA 15425-1524 | 2007-07-06 |
| 1841414836 | Gina Lynn Canada | Family Medicine | 2618 Memorial Blvd Ste B-1, Connellsville, PA 15425-1419 | 2007-04-12 |
| 1558387472 | Charlene Rae Saloom | Family Medicine | 208 S. Arch Street, Connellsville, PA 15425-3519 | 2006-07-14 |
| 1215995709 | Margel C Guie | Family Medicine | 420 W Crawford Ave, Connellsville, PA 15425-3031 | 2006-05-03 |
| 1720072861 | James Miller Oppy | Family Medicine | 201 N Pittsburgh St, Suite 3a, Connellsville, PA 15425-3231 | 2005-09-06 |
| 1407856891 | Sarah Lumley | Family Medicine | 204 Memorial Blvd, Connellsville, PA 15425-2654 | 2005-07-28 |
| 1497380885 | Excela Health Physician Practices, Inc | Family Medicine | 2618 Memorial Blvd Ste B-1, Connellsville, PA 15425-1419 | 2020-03-06 |
| 1962665018 | Conn Family Medicine, P.C. | Family Medicine | 2616 Memorial Blvd, Suite B, Connellsville, PA 15425-1418 | 2008-07-09 |
| Find all providers in CONNELLSVILLE | ||||
| City | CONNELLSVILLE |
| Zip Code | 15425 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.