Provider Demographics
NPI:1316991003
Name:BATCHEV, ALEXANDER C (DO)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:C
Last Name:BATCHEV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60065-0791
Mailing Address - Country:US
Mailing Address - Phone:847-593-8460
Mailing Address - Fax:224-235-4652
Practice Address - Street 1:2057 W 8TH ST
Practice Address - Street 2:#1
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505
Practice Address - Country:US
Practice Address - Phone:814-520-0411
Practice Address - Fax:224-235-4652
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014963207V00000X
PAOS14963207Q00000X
OH34.009399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000904683OtherHIGMARK
PA001672150Medicaid
PA002573Medicare PIN
PA000904683OtherHIGMARK
MI4276554Medicaid