Anita Wacht Batman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

07962 Issued in MS

Practice address

Highway 82 Student Health Clinic
Mississippi Valley State University
Itta Bena, MS 38941

Phone

(662) 254-3331

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1760710990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W JEFFERSON AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303535",
            "telephone_number": "662-455-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 82 STUDENT HEALTH CLINIC",
            "address_2": "MISSISSIPPI VALLEY STATE UNIVERSITY",
            "city": "ITTA BENA",
            "state": "MS",
            "postal_code": "38941",
            "telephone_number": "662-254-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATMAN",
        "first_name": "ANITA",
        "middle_name": "WACHT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "07962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Itta Bena, MS
• Providers in Itta Bena, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.