Provider Demographics
NPI:1982699906
Name:BATICH, JOHN WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WILLIAM
Last Name:BATICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LEROY ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1799
Mailing Address - Country:US
Mailing Address - Phone:315-265-3300
Mailing Address - Fax:
Practice Address - Street 1:80 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1450
Practice Address - Country:US
Practice Address - Phone:315-714-3170
Practice Address - Fax:315-714-3176
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175660207V00000X
WV21794174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
146416OtherUNITED MINE WORKERS
845896OtherFIRST HEALTH
WV21794OtherUPPER OHIO VALLEY HEALTH
264495OtherCARELINK
NY175660OtherNYS LICENSE
OH2540558Medicaid
WV3810001404Medicaid
7626136OtherAETNA
WV7200274OtherCIGNA
WV21794OtherUPPER OHIO VALLEY HEALTH
845896OtherFIRST HEALTH
7329851Medicare PIN