Jeffrey Daniel Bateman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003686 Issued in VA

Practice address

Wilford Hall Ambulatory Surgical Center
2200 Bergquist Dr
Lackland, TX 78236

Phone

(210) 292-7412

NPI assigned

Jan 25, 2006

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1376513945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 PIPING ROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535114",
            "telephone_number": "228-229-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
            "address_2": "2200 BERGQUIST DR",
            "city": "LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Schofield Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234598838",
            "country_code": "US",
            "telephone_number": "757-763-4050",
            "fax_number": "757-492-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 59TH MDW-Whasc-Lackland (DOD REID ePhcy)
• Sonja L Banks-Gay, RPH
• Susan E Dellaripa, D.M.D.
• Daniel Rossman, R.PH.

• Medical Physician Assistant in Lackland, TX
• Providers in Lackland, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.