Organization Active NPI

Scott N Bateman, MD

  • Otolaryngology Physician
  • Sheridan, WY
National Provider Identifier
1578754487
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5710A Issued in WY
Legal business name
SCOTT N BATEMAN, MD
Doing business as
Sheridan Ear Nose & Throat
Practice address
330 W Dow St
Sheridan, WY 82801-3829
Phone
(307) 672-0290
Fax
(307) 672-0884
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Scott N Bateman, M.D.
Title
Owner
Phone
(307) 672-0290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5710A WY Primary
Hearing Aid Equipment 332S00000X 5710A WY

Addresses

Primary practice location

330 W Dow St
Sheridan, WY 82801-3829

Mailing address

330 W Dow St
Sheridan, WY 82801-3829
Phone (307) 672-0290

Other identifiers 2

IdentifierTypeStateIssuer
01033001OtherWYBLUE CROSS AND BLUE SHIELD
112709801MedicaidWY

Other names 1

  • Sheridan Ear Nose & Throat Doing business as

National Provider Directory

National Provider Directory

Locations

330 W Dow St
Sheridan, WY 82801
Phone (307) 672-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1578754487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W DOW ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013829",
            "telephone_number": "307-672-0290",
            "fax_number": "307-672-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W DOW ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013829",
            "telephone_number": "307-672-0290",
            "fax_number": "307-672-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT N BATEMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-672-0290",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "5710A",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "WY",
            "license": "5710A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "01033001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112709801",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Ear Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.