NPI 1366424384 · live from the CMS NPI Registry
Scot T Bateman, M.D.
Pediatrics, Pediatric Critical Care Medicine in Worcester, MA. National Provider Identifier 1366424384, active.
NPI record
| NPI | 1366424384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Critical Care Medicine 2080P0203X |
| Practice location | 55 Lake Ave N, Department Of Pediatric Critical Care, Worcester, MA 01655 |
| Practice phone | 774-442-2164 |
| Mailing address | Po Box 4158348, Boston, MA 02241 |
| Enumerated | November 16, 2005 |
| Last updated | November 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 155242 (MA) |
| Pediatrics, Hospice and Palliative Medicine | 2080H0002X | 155242 (MA) |
| Pediatrics, Pediatric Critical Care Medicine primary | 2080P0203X | 155242 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.