Individual
DR. JUAN GUILLERMO BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 23RD ST STE 210, ASHLAND, KY 41101-2868
(606) 326-9847
(606) 324-3418
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.201742
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
49423
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A115149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193538
—
OH
05
—
7100454120
—
KY
Enumeration date
08/14/2007
Last updated
07/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us