Active NPI
Ronald M Bateman DO
- Rehabilitation Practitioner
- Golden Valley, MN
National Provider Identifier
1437332392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 22770
- Legal business name
- RONALD M BATEMAN DO
- Practice address
- 3915 Golden Valley Rd
Golden Valley, MN 55422-4249 - Phone
- (952) 520-0454
- Fax
- (507) 387-6155
- NPI assigned
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Louris
- Title
- Billing Service
- Phone
- (507) 387-5134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 22770 | MN | Primary |
Addresses
Primary practice location
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Mailing address
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone (952) 520-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01008BA | Other | MN | BCBS OF MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1437332392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "952-520-0454",
"fax_number": "507-387-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224249",
"telephone_number": "952-520-0454",
"fax_number": "507-387-6155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD M BATEMAN DO",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "LOURIS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "BILLING SERVICE",
"authorized_official_telephone_number": "507-387-5134"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "MN",
"license": "22770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "01008BA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.