Andrea Bateman, M.D.
Individual provider Active NPI Pediatrics Physician · Bend, OR
NPI 1144243734 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1144243734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD210515 (OR)
- Practice address
- 2084 NE Professional CT
Bend, OR 97701-6077 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210515 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Past | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients | |
| Latouche Pediatrics, LLC | Past |
Accepting new patients | |
| Latouche Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- abateman583412@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD210515 | OR | Yes |
Addresses
Primary practice location
2084 NE Professional CT
Bend, OR 97701-6077
Mailing address
PO Box 4228
Portland, OR 97208-4228
Phone (541) 383-3005
Other practice location 1
230 NE 6th St
Bend, OR 97701-5103
Phone (541) 383-3005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500807370 | Medicaid | OR |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.