Provider Demographics
NPI:1558355768
Name:BATIE, RODNEY E (DO)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:E
Last Name:BATIE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-5210
Mailing Address - Country:US
Mailing Address - Phone:937-323-9242
Mailing Address - Fax:937-322-5252
Practice Address - Street 1:1835 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-5210
Practice Address - Country:US
Practice Address - Phone:937-323-9242
Practice Address - Fax:937-322-5252
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-00-5256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0720142OtherUNITED HEATH CARE
OH647975OtherAETNA
OH0829269Medicaid
OH160011003OtherMEDICARE/RAILROAD
OH311393226026OtherCARESOURCE (MANAGED CARE)
OHD05256OtherHUMANA
OH000000017950OtherANTHEM BC/BS
OH160011003OtherMEDICARE/RAILROAD
OHE92539Medicare UPIN