Provider Demographics
NPI:1619940541
Name:BATOR, SUSAN MARY (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARY
Last Name:BATOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N. DUKE ST.
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604
Mailing Address - Country:US
Mailing Address - Phone:717-544-5511
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041243E207ZB0001X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30001345OtherKEYSTONE MERCY
PA50056048OtherKEYSTONE HEALTH PLAN CENTRAL
PA1002513OtherAMERIHEALTH MERCY
PA7359436OtherAETNA - NON HMO
PA000616162OtherHIGHMARK
PA001678350 0001Medicaid
PA220021406OtherMEDICARE - RAILROAD
PA000000126581OtherUNISON
PA0444471000OtherINDEPENDENCE BLUE CROSS
PA1150091OtherAETNA - HMO
PA1538629OtherGATEWAY
PA50056048OtherCAPITAL BLUE CROSS
PA53080OtherGEISINGER HEALTH PLAN
PA1538629OtherGATEWAY
PAE55851Medicare UPIN