Kevin R Bates, PA-C
Individual provider Active NPI Physician Assistant · Lancaster, OH
NPI 1508940537 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508940537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2405 N Columbus St
Suite 120
Lancaster, OH 43130-8185 - Phone
- (740) 687-3346
- Fax
- (740) 689-9736
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- River Valley Orthopaedics and Sports Medicine Inc
Practice addresses (Care Compare)
2656 N Columbus St
Suite D
Lancaster, OH 43130-8991
Phone (740) 687-3346
Hospital & facility affiliations
- Home Health Connection, Inc
- Fairfield Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061204000678 | OH | Practitioner - Physician Assistant | 3779582655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Radiology Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2405 N Columbus St
Suite 120
Lancaster, OH 43130-8185
Mailing address
2405 N Columbus St
Suite 120
Lancaster, OH 43130-8185
Phone (740) 687-3346
Other providers in Lancaster, OH
- Karim I Barrie
- Todd J Barszcz
- Sherry Bartlett
- Kelli Ann Barto
- Megan Bash
- William Henrichs Batten
- Amanda Jo Bautista
- Saeed Aref Bazzi
- BCM Inc
- Nicole Jo Beafore
All providers in Lancaster, OH · Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.