1477524791 NPI number — DR. KATHLEEN BATT MD

Table of content: DR. KATHLEEN BATT MD (NPI 1477524791)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477524791 NPI number — DR. KATHLEEN BATT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BATT
Provider First Name:
KATHLEEN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477524791
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 FOUNTAIN PLZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14202-2211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
416-691-8838
Provider Business Mailing Address Fax Number:
716-564-1134

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
921 WAYNE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLEAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14760-2255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-379-8608
Provider Business Practice Location Address Fax Number:
716-564-1134
Provider Enumeration Date:
01/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 173000000X , with the licence number:  ME0076924 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 217829 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , with the licence number: 217829 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5009 . This is a "UHC OF NY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: ME0076924 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: ME0076924 . This is a "VHN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 258359300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5009 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 80178849 . This is a "RAILROAD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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