Provider Demographics
NPI:1053363101
Name:BATISTE, C. STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:C.
Middle Name:STEVEN
Last Name:BATISTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-446-5387
Mailing Address - Fax:740-446-5982
Practice Address - Street 1:98 STATE ST
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8163
Practice Address - Country:US
Practice Address - Phone:740-886-9403
Practice Address - Fax:740-446-5153
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-0135207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0042367000Medicaid
080040478OtherRR MEDICARE
OH000000181957OtherUNISON MEDICAID
001714052OtherMOUNTAIN STATE BCBS
OH310917085100OtherCARESOURCE MEDICAID
OH0812384OtherMOLINA MEDICAID
000000007517OtherANTHEM BCBS
1053363101OtherNPI
OH0812384OtherMOLINA MEDICAID
OH310917085100OtherCARESOURCE MEDICAID
080040478OtherRR MEDICARE