National Provider Identifier Database

MA THERESA C BAUTISTA, MD – NPI #1780973792
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

MA THERESA C BAUTISTA, MD
501 MORRIS ST
3 WEST ADMINISTRATION
CHARLESTON, WV25301-1326
Phone: 304-388-3574
Fax: 304-388-6481
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X

* Indicates primary specialty

NPI Profile & details for MA THERESA C BAUTISTA

NPI Number 1780973792
Credentials MD
Entity Individual
Enumeration date 03/30/2011
Last updated 11/24/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • WV License #: 25853
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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