Provider Demographics
NPI:1639314040
Name:ROD E. BATIE, D.O., INC.
Entity Type:Organization
Organization Name:ROD E. BATIE, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BATIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-323-9242
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0720142OtherUNITED HEALTH CARE
OH0829269Medicaid
OH0695492Medicare PIN