SANA ALI BAUTISTA


Address: 3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone: 2155904591

SANA ALI BAUTISTA (NPI# 1548689425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548689425
Entity Type Individual
Full Name SANA ALI BAUTISTA
Credential M.D.
Practice Address 3401 Civic Center Blvd
Philadelphia
PA 19104-4319
Mailing Address 43 New Scotland Ave
Department of Ophthalmology
Albany
NY 12208-3412
Practice Telephone 2155904591
Enumeration Date 2014-04-08
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
MD466704 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
113 Holland Ave, Albany, NY 122083410 5186265850
43 New Scotland Ave, Department of Ophthalmology, Albany, NY 12208 5182623095

Office Location

Street Address 3401 CIVIC CENTER BLVD
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 207WX0200X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669529780 Paul B Johnson Ophthalmology 1923 Mount Vernon St, Philadelphia, PA 19130-3213 2007-01-03
1477948412 Siwei Zhou Ophthalmology 840 Walnut St Ste 910, Philadelphia, PA 19107-5599 2015-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609353291 Eye and Facial Plastic Surgery Consultants LLC Ophthalmology 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 2018-07-26
1881685048 Daniel E Buerger Ophthalmology 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 2005-11-04
1811064561 Pittsburgh Oculoplastic Associates, Ltd Ophthalmology 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 2006-11-29
1841240827 Cari Elizabeth Lyle Ophthalmology 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 2006-05-11
1568443166 Phillip Hyunchul Choo Ophthalmology 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 2005-11-10
1730160631 David G Buerger Ophthalmology 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 2005-11-08

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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