Dr. Juan Guillermo Bastidas
Surgeon Cardiothoracic Vascular Surgeon
613 23rd St Ste 210
Ashland
, Kentucky 41101-2868
Dr. Juan Guillermo Bastidas
Surgeon Cardiothoracic Vascular Surgeon
613 23rd St Ste 210
Ashland
, Kentucky 41101-2868
(606) 408-6612
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Juan Guillermo Bastidas
- Po Box 2379
- Ashland, KY
- Zip : 41105-2379
- Fax : (606) 408-6612
- Phone : (606) 408-6200
Second Address
- Dr. Juan Guillermo Bastidas
- 613 23rd St Ste 210
- Ashland, KY
- Zip : 41101-2868
- Fax : (606) 324-3418
- Phone : (606) 326-9847
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD.201742 | LA |
| N | 208600000X | Surgeon | MD.201742 | LA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 49423 | KY |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | A115149 | CA |
National Provider Identifier
| NPI | 1033301080 |
|---|---|
| Provider Name | Dr. Juan Guillermo Bastidas |
| First Address | Ashland, KY 41105-2379 |
| Second Address | Ashland, KY 41101-2868 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2007 |
| Last Update Date | 21/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0193538 | (05) | OH |
| 7100454120 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.