John Michael Baten, M.D.
Individual provider Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Flowood, MS
NPI 1114016144 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1114016144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- 18060 (MS)
- Practice address
- 120 Stone Creek Blvd Ste 200
Flowood, MS 39232-8210 - Phone
- (016) 822-2294
- Fax
- (601) 793-4273
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urogynecology Associates LLC
Practice addresses (Care Compare)
120 Stone Creek Blvd
Suite 200
Flowood, MS 39232-8210
Phone (769) 243-6141
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- St Dominic-Jackson Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000229 | MS | Practitioner - Obstetrics/Gynecology | 0244267524 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18060 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urogynecology Associates, LLC | Urogynecology and Reconstructive Pelvic Surgery | Current |
Accepting new patients |
Locations
120 Stone Creek Blvd
Ste 200
Flowood, MS 39232
Phone (601) 822-2294
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Interoperability endpoints
- john.baten.d1.p2@direct.urogyn.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- john.baten.p1@direct.urogyn.nextgenshare.com
- john.baten.p2@direct.urogyn.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18060 | MS | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 18060 | MS | Yes |
Addresses
Primary practice location
120 Stone Creek Blvd Ste 200
Flowood, MS 39232-8210
Mailing address
120 Stone Creek Blvd Ste 200
Flowood, MS 39232-8210
Phone (601) 822-2294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008759071 | Medicaid | MS |
Other providers in Flowood, MS
- Laura A. Barron
- Itzel Marisol Barroso
- Kimberly Pinkerton Bartholomew
- Asia Devenae Bass
- Natalie Bass
- Christy Bates
- Abigail Battle
- Ingrahm Baylark
- Beacon Behavioral of Mississippi, LLC
- Ashley Paige Beam
All providers in Flowood, MS · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.