ROBERTO BEJARANO CARRASCO (NPI# 1740364652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740364652 |
| Entity Type | Individual |
| Full Name | ROBERTO BEJARANO CARRASCO |
| Credential | MD |
| Practice Address |
1911 Port Lane St 2 Amarillo TX 79106 |
| Mailing Address |
1911 Port Ln Ste 2 Amarillo TX 79106-2470 |
| Practice Telephone | 8063599100 |
| Practice Fax Number | 8063597022 |
| Mailing Telephone | 8063599100 |
| Mailing Fax Number | 8063597022 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | J1914 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 5489017 | 01 |
| TX | BCBS | 848605 | 01 |
| Street Address |
1911 PORT LANE ST 2 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124204 | Drona Astra LLC | Obstetrics & Gynecology | 8901 Witmer Ct, Amarillo, TX 79119-1342 | 2018-08-20 |
| 1013171008 | Carol Kiesling, M.d., P.a. | Obstetrics & Gynecology | 10200 Kukihalo Rd, Amarillo, TX 79124-0700 | 2008-07-18 |
| 1104908185 | Londa G Carrasco | Obstetrics & Gynecology | 1911 Port Ln Ste 2, Amarillo, TX 79106-2470 | 2006-10-19 |
| 1649366154 | Michael D Williams | Obstetrics & Gynecology | 6009 Belpree Rd, Amarillo, TX 79106-3302 | 2006-10-04 |
| 1124037122 | Pablo R. Diaz-esquivel | Obstetrics & Gynecology | 1600 Coulter, Building E Suite 703, Amarillo, TX 79106-1776 | 2006-08-07 |
| 1932131794 | Arturo Carrillo | Obstetrics & Gynecology | 1911 Port Lane, Amarillo, TX 79106-2470 | 2006-07-06 |
| 1942239488 | Women's Healthcare Associates, Pllc | Obstetrics & Gynecology | 1301 S Coulter, Suite 300, Amarillo, TX 79106 | 2006-06-30 |
| 1407894686 | Douglas R Shelton Md Pa | Obstetrics & Gynecology | 1901 Medi Park Dr Ste 6, Amarillo, TX 79106-2105 | 2006-06-02 |
| 1639157860 | Brian Scott Lindstrom | Obstetrics & Gynecology | 7620 Wallace Blvd, Amarillo, TX 79124-2154 | 2006-01-06 |
| 1790782951 | Martin Andrew Hands | Obstetrics & Gynecology | 7809 Tripp, Amarillo, TX 79121 | 2005-07-02 |
| Find all providers in AMARILLO | ||||
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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.