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

Dr. Mario Bautista, MD

Individual provider Pediatrics Physician · NPI 1619955192

Dr. Mario Bautista, MD is a Pediatrics Physician in Jackson, Ohio. Licensed in New Mexico and Ohio. Registered with an NPI since 2006.

Licensed in
NM, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Veterans Dr
Jackson, OH 45640-9586
Phone: (740) 395-8090
Fax: (740) 395-8197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.089012 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 2004-0547 (NM)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 2004-0547 (NM)

Record details

NPI number1619955192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

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