MEDICARE: MR. ANTHONY TYRONE BATTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1164371407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY TYRONE BATTLE

Provider Business Mailing Address
First Line	:	16304 HUNTMERE AVE LOWR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1549
Country	:	US
Telephone Number	:	440-427-3773
Fax Number	:	440-306-2701

Provider Business Practice Location Address
First Line	:	1117 E 105TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-3555
Country	:	US
Telephone Number	:	440-427-3773
Fax Number	:	440-306-2701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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