Active NPI
Matthew Bateman, CRNA
- Certified Registered Nurse Anesthetist
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R82315
- Practice address
- 1001 Towson Ave
Fort Smith, AR 72901-4921 - Phone
- (479) 441-4190
- NPI assigned
- May 19, 2014
- Last updated
- May 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R82315 | AR | Primary |
Addresses
Primary practice location
1001 Towson Ave
Fort Smith, AR 72901-4921
Mailing address
2508 Highway 284
Wynne, AR 72396-8478
Phone (870) 318-4879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Sunflower Medical Center
Practice addresses (Care Compare)
1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783
840 N Oak Ave
Ruleville, MS 38771-3227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R82315 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current | Accepting new patients | |
| Delta Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Sunflower Medical Center | Current | Accepting new patients | |
| Delta Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Sunflower Medical Center | Current | Accepting new patients |
Locations
1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185
785 Ohio Ave
Ste 3B
Clarksdale, MS 38614
Phone (662) 624-5026
1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Delta Health-Medical Group (Anesthesia)
- Anesthesiology Physician
- Greenville, MS
- NPI 1447818026
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Ruleville, MS
- NPI 1508913609
-
dba Cleveland Medical Clinic
- Family Medicine Physician
- Cleveland, MS
- NPI 1891705133
-
dba North Sunflower Medical Center - CRNA
- Certified Registered Nurse Anesthetist
- Ruleville, MS
- NPI 1104132174
-
dba Delta Health-Medical Group
- Internal Medicine Physician
- Clarksdale, MS
- NPI 1609464619
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Greenville, MS
- NPI 1184232498
Hospital
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Clarksdale, MS
- NPI 1578171872
Hospital
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Hospital
-
- Critical Access Hospital
- Ruleville, MS
- NPI 1508913609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1407267859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 HIGHWAY 284",
"city": "WYNNE",
"state": "AR",
"postal_code": "723968478",
"telephone_number": "870-318-4879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 TOWSON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014921",
"telephone_number": "479-441-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "MATTHEW",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "R82315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.