MEDICARE: DR. JOHN T BATTER M.D.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	18261	NE
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	31021	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	060052408	OTHER	NE	RAILROAD
3	6462	OTHER	NE	MIDLANDS CHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	43902	OTHER	IA	BCBS IA
6	04033	OTHER	NE	BCBS NE
7	4707367990005	OTHER	NE	UPREHS

General Provider Information

NPI Number	:	1932189453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN T BATTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3755
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68103-0755
Country	:	US
Telephone Number	:	402-354-5451
Fax Number	:	402-354-2155

Provider Business Practice Location Address
First Line	:	1120 N 103RD PLZ STE 200
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-1119
Country	:	US
Telephone Number	:	402-354-0400
Fax Number	:	402-354-0425

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	06/27/2022

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Directions to “ DR. JOHN T BATTER M.D.” Practice Location

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