Provider Demographics
NPI:1609821172
Name:BATTENFIELD, HAROLD L (DO)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:BATTENFIELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:802 S JACKSON
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-9010
Mailing Address - Country:US
Mailing Address - Phone:918-599-7100
Mailing Address - Fax:918-583-3853
Practice Address - Street 1:802 S JACKSON
Practice Address - Street 2:SUITE 130
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9010
Practice Address - Country:US
Practice Address - Phone:918-599-7100
Practice Address - Fax:918-583-3853
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1469207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
400522057OtherGROUP MEDICARE NUMBER
OK100121680AMedicaid
200010128OtherRR MEDICARE ID
4511143OtherAETNA ID NUMBER
200010128OtherRR MEDICARE ID