Basic Information
| Provider Information | |||||||||
| NPI: | 1053363101 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BATISTE | ||||||||
| FirstName: | C. | ||||||||
| MiddleName: | STEVEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 90 JACKSON PIKE | ||||||||
| Address2: | |||||||||
| City: | GALLIPOLIS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456311560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404465387 | ||||||||
| FaxNumber: | 7404465982 | ||||||||
| Practice Location | |||||||||
| Address1: | 98 STATE ST | ||||||||
| Address2: | |||||||||
| City: | PROCTORVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456698163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7408869403 | ||||||||
| FaxNumber: | 7404465153 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 11/06/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35-06-0135 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0042367000 | 05 | WV | MEDICAID | 080040478 | 01 | RR MEDICARE | OTHER | 000000181957 | 01 | OH | UNISON MEDICAID | OTHER | 001714052 | 01 | MOUNTAIN STATE BCBS | OTHER | 310917085100 | 01 | OH | CARESOURCE MEDICAID | OTHER | 0812384 | 01 | OH | MOLINA MEDICAID | OTHER | 000000007517 | 01 | ANTHEM BCBS | OTHER | 1053363101 | 01 | NPI | OTHER |