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Deactivated NPI 1700853264 Deactivated / Inactive NPI Male Practitioner

Dr. Marcianito A Bautista , MD

Plastic Surgery • North Canton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marcianito Bautista has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2006
NPI Deactivation Date October 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Marcianito Bautista, MD was a registered Plastic Surgery practicing in North Canton, OH. Throughout an active medical career spanning 14 years, Dr. Bautista provided care at the practice location at 4677 FULTON DR NW until profile deactivation on 2020-10-28.

Practice Location & Contact Primary Location

Practice Address

4677 Fulton Dr Nw

North Canton, OH 44718

Telephone 3304331322
Fax 3304970667
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in North Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
2 Specialists

Practicing in North Canton, OH (240 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License OH 35033359

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124095682

Doctor of Medicine (M.D.)

Dr. Steven Morman , MD

Allergy & Immunology

NPI 1598733503

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 28, 2020

Record deactivated on October 28, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4677 FULTON DR NW, NORTH CANTON, OH 44718 (Tel: 3304331322)

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Updated Business Mailing Address July 08, 2007

Registered at 6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720 (Tel: 3304331200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARCIANITO BAUTISTA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #35033359 in OH)

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Initial NPI Registration & Enumeration March 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700853264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2006
Last Update: July 08, 2007
Deactivation Date: October 28, 2020

Mailing Address

6046 Whipple Ave Nw

North Canton, OH 44720

Phone: 3304331200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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