Healthcare Provider Details

I. General information

NPI: 1528470135
Provider Name (Legal Business Name): NICHOLAS ANDREW BATTISTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2014
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SOUTH BLVD E STE 300
ROCHESTER HILLS MI
48307-6120
US

IV. Provider business mailing address

1701 SOUTH BLVD E STE 300
ROCHESTER HILLS MI
48307-6120
US

V. Phone/Fax

Practice location:
  • Phone: 248-884-9710
  • Fax: 248-884-9711
Mailing address:
  • Phone: 248-884-9710
  • Fax: 248-884-9711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number16735
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number14451-320
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberEMC0008186
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: