Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Juan Guillermo Bastidas, MD

Individual provider Surgery Physician · NPI 1033301080

Dr. Juan Guillermo Bastidas, MD is a Thoracic Surgery in Ashland, Kentucky. Qualified in 1998, 28 years ago. Practices with St Mary's Medical Management, LLC, a 91-clinician group and accepts Medicare assignment. Licensed in California, Kentucky and Louisiana.

Years since qualifying
28
Licensed in
CA, KY, LA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

613 23rd St Ste 210
Ashland, KY 41101-2868
Phone: (606) 326-9847
Fax: (606) 324-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 49423 (KY)
Surgery Physician Taxonomy 208600000X · Licence MD.201742 (LA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence A115149 (CA)

Record details

NPI number1033301080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESJuly 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St. Mary'S Medical Management, Llc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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