Specialty Clinics of St Anne PLLC
NPI 1356360473ActiveOrganization· Internal Medicine· Guymon, OK
Internal Medicine in Guymon, Oklahoma, registered in NPPES in July 2006. The authorized official on file is Martin Bautista, M.D., Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356360473 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 19756 | OK |
| Family Medicine | 207Q00000X | 26523 | OK |
| Internal Medicine | 207R00000X | 19772 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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