MR. GONZALO BAUTISTA JR. (NPI# 1700220795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700220795 |
| Entity Type | Individual |
| Full Name | MR. GONZALO BAUTISTA JR. |
| Practice Address |
700 Scott and White Dr College Station TX 77845-6441 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9792070100 |
| Practice Fax Number | 9792072161 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP124090 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 SCOTT AND WHITE DR |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125305 | Ben L Sueoka | Radiology | 700 Scott and White Dr, College Station, TX 77845-6441 | 2005-06-22 |
| 1386208452 | Faranaz Majid Velani Hoodani | Registered Nurse | 700 Scott and White Dr, College Station, TX 77845-6441 | 2019-04-24 |
| 1801383930 | Ross Hunter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-04-14 |
| 1982107504 | Genevieve Lois Gourlay | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-03-09 |
| 1992211155 | Shannon Lloyd | Dietitian, Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-22 |
| 1184130080 | Steven Christian Piwonka | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-14 |
| 1730690637 | Jason David Jennings | Physical Therapist | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-10-18 |
| 1831616440 | Richard Torio | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-08-24 |
| 1508396250 | Jeffrey Barrett Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-06-15 |
| 1528512662 | Lisa Carter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265256 | Cody Rapp | Nurse Anesthetist, Certified Registered | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2020-01-29 |
| 1801383930 | Ross Hunter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-04-14 |
| 1184130080 | Steven Christian Piwonka | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-14 |
| 1831616440 | Richard Torio | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-08-24 |
| 1508396250 | Jeffrey Barrett Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-06-15 |
| 1528512662 | Lisa Carter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-08-05 |
| 1275915613 | Stephanie K Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2015-06-22 |
| 1447697487 | Kristin Massicot Smith | Nurse Anesthetist, Certified Registered | 1600 University Dr E, College Station, TX 77840-2642 | 2013-05-31 |
| 1295008571 | Joselle Lewis-band | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2012-02-16 |
| 1457411902 | Karen J Griffin | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2006-12-12 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.