Provider Demographics
NPI:1518140375
Name:HUGH BATTY MD PC
Entity Type:Organization
Organization Name:HUGH BATTY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTY
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:307-674-6166
Mailing Address - Street 1:1262 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2702
Mailing Address - Country:US
Mailing Address - Phone:307-674-6166
Mailing Address - Fax:307-672-8687
Practice Address - Street 1:1262 W 5TH ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-2702
Practice Address - Country:US
Practice Address - Phone:307-674-6166
Practice Address - Fax:307-672-8687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2892A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYCJ2604OtherRAILROAD MEDICARE
WY00741001OtherBLUE CROSS BLUE SHIELD
WY106375800Medicaid
WY00741001OtherBLUE CROSS BLUE SHIELD
WY106375800Medicaid