DR. JOSEF EDRIK KEITH ABIOG BAUTISTA MD NPI 1700131125

NPI Information

NPI: 1700131125
Provider Name: DR. JOSEF EDRIK KEITH ABIOG BAUTISTA, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: PACIFIC KIDNEY AND HYPERTENSION LLC

PECOS Registration: Yes

Address:
2707 COLBY AVE STE 718
EVERETT, WA
ZIP 98201
Phone: (425) 339-5413
Get Directions

DR. Josef Edrik Keith Abiog Bautista, MD is a nephrology internal medicine in Everett, WA with 15 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Josef Edrik Keith Abiog Bautista, MD NPI is 1700131125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2707 COLBY AVE STE 718
EVERETT, WA
ZIP 98201-564
Phone: (425) 339-5413
Fax: (425) 339-4213

The NPI 1700131125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2012 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	MD61032416	WASHINGTON	Yes
2	207RN0300X	Internal Medicine	Nephrology	MD15199	RHODE ISLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2157737	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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