Jane E Bates, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051210 Issued in PA

Practice address

1023 Poplar St
Lebanon, PA 17042-6636

Phone

(717) 270-9446

Fax

(717) 270-5669

NPI assigned

Jul 7, 2006

Last updated

Nov 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jane Elizabeth Michael Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1558394387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 POPLAR ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426636",
            "telephone_number": "717-270-9446",
            "fax_number": "717-270-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 POPLAR ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426636",
            "telephone_number": "717-270-9446",
            "fax_number": "717-270-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581595",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MICHAEL",
            "middle_name": "ELIZABETH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael David Barton Jr., D.M.D.
• Kathleen F Bashista, M.ED.
• Crystal Kay Bashore, LMT
• Devon Walter Bashore, PHARMD
• Hannah Elizabeth Bashore, MS, LAT, ATC
• Amy Bauer
• Linda Bayer
• Robert A Bazewicz, MD
• Jacelyn Beach
• Jason Beals

• Physician Assistant in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.