Healthcare Provider Details

I. General information

NPI: 1568825818
Provider Name (Legal Business Name): ADAM HWAN BATES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # E19
CLEVELAND OH
44195-1900
US

IV. Provider business mailing address

9500 EUCLID AVE # E19
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-9132
  • Fax:
Mailing address:
  • Phone: 216-445-9132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.135330
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number35.135330
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: