Provider Demographics
NPI:1346501319
Name:BATTISTI, ROBERT FRANKLIN
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:FRANKLIN
Last Name:BATTISTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 PATTERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-2514
Mailing Address - Country:US
Mailing Address - Phone:513-896-9595
Mailing Address - Fax:
Practice Address - Street 1:544 PATTERSON BLVD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-2514
Practice Address - Country:US
Practice Address - Phone:513-896-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.128350207R00000X
NC182733207R00000X
MI4301502942207R00000X
NC2015-00597207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1346501319Medicaid
SCNC2484Medicaid
NCNCP131AMedicare PIN
NCNCP131CMedicare PIN
NCNCP131BMedicare PIN
NC1346501319Medicaid