Healthcare Provider Details

I. General information

NPI: 1477524791
Provider Name (Legal Business Name): KATHLEEN BATT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 WAYNE ST
OLEAN NY
14760-2255
US

IV. Provider business mailing address

6 FOUNTAIN PLZ
BUFFALO NY
14202-2211
US

V. Phone/Fax

Practice location:
  • Phone: 716-379-8608
  • Fax: 716-564-1134
Mailing address:
  • Phone: 416-691-8838
  • Fax: 716-564-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME0076924
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number217829
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number217829
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier5009
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerUHC OF NY
# 2
IdentifierME0076924
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerHUMANA
# 3
IdentifierME0076924
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerVHN
# 4
Identifier258359300
Identifier TypeMEDICAID
Identifier StateFL
Identifier Issuer
# 5
Identifier5009
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerBCBS
# 6
Identifier80178849
Identifier TypeOTHER
Identifier StateFL
Identifier IssuerRAILROAD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: