Organization Active NPI

Lucinda Bateman MD PC

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1437489028
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
178153 1205 Issued in UT
Legal business name
LUCINDA BATEMAN MD PC
Practice address
1002 E South Temple Ste 408
Salt Lake City, UT 84102-1571
Phone
(801) 359-7400
Fax
(801) 359-7404
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Lucinda Bateman, MD
Title
Owner
Phone
(801) 359-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 178153 1205 UT Primary

Addresses

Primary practice location

1002 E South Temple Ste 408
Salt Lake City, UT 84102-1571

Mailing address

1002 E South Temple Ste 408
Salt Lake City, UT 84102-1571
Phone (801) 359-7400

Other identifiers 2

IdentifierTypeStateIssuer
0491073OtherUTUNITED HEALTHCARE
528929987015MedicaidUT

National Provider Directory

National Provider Directory

Locations

1002 E South Temple
Ste 408
Salt Lake Cty, UT 84102
Phone (801) 350-4607

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1437489028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 408",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021571",
            "telephone_number": "801-359-7400",
            "fax_number": "801-359-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 408",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021571",
            "telephone_number": "801-359-7400",
            "fax_number": "801-359-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCINDA BATEMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-359-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "178153 1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0491073",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528929987015",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.