DR. MARIO BAUTISTA MD
NPI 1619955192
Pediatrics in Jackson, OH

Active since January 05, 2006
1000 VETERANS DR, JACKSON, OH 45640(740) 395-8090(740) 395-8197 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2020, Mar 22, 2019 (2 updates tracked since 2019).

About Dr. Mario Bautista Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO BAUTISTA MD (NPI 1619955192) is an individual pediatrics provider in Jackson, Ohio, licensed in Ohio (35.089012) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1619955192
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARIO BAUTISTACredential: MD
Location Address1000 VETERANS DRJackson, OH 45640-9586
Mailing Address272 Hospital Rd Ste 6Chillicothe, OH 45601-9031 · (740) 779-4275 · Fax (740) 779-4257
Fax(740) 395-8197
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
NPI 1619955192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in OH · 35.089012 Licensed in NM · 2004-0547
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2004-0547 (NM)
1000 VETERANS DR, Jackson, OH 45640

Other Identifiers 8

Medicaid99238071NM
OtherNM009R63NM · Bc/bs
OtherPROVP11655NM · Molina
Other201047701NM · Presbyterian Health/salud
Other10016535NM · Lovelace Health/salud
Other885808AZ · Ahcccs
OtherP00137209Railroad Medicare
Medicaid2711211OH

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1000 VETERANS DR
JACKSON, OH 45640
Nurse Practitioner (Family)
1000 VETERANS DR
JACKSON, OH 45640
Family Medicine
1000 VETERANS DR
JACKSON, OH 45640
Family Medicine
1000 VETERANS DR
JACKSON, OH 45640
Nurse Practitioner (Family)
1000 VETERANS DR
JACKSON, OH 45640
Nurse Practitioner
1000 VETERANS DR
JACKSON, OH 45640
Clinic/Center (Urgent Care)
1000 VETERANS DR
JACKSON, OH 45640
Nurse Practitioner (Family)
1000 VETERANS DR
JACKSON, OH 45640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Bautista's NPI number?

The NPI number for Mario Bautista is 1619955192. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Mario Bautista located?

Mario Bautista practices at 1000 Veterans Dr, Jackson, OH 45640. The listed phone number is (740) 395-8090.

What is Mario Bautista's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Mario Bautista accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Mario Bautista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Bautista was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.