SHAYNE ETHAN BATES M.D. NPI 1912186990

NPI Information

NPI: 1912186990
Provider Name: SHAYNE ETHAN BATES, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3746 VEST MILL RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 716-2255
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Shayne Ethan Bates, M.D. is a pediatrics in Winston Salem, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Shayne Ethan Bates, M.D. NPI is 1912186990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3746 VEST MILL RD
WINSTON SALEM, NC
ZIP 27103-912
Phone: (336) 716-2255
Fax: (336) 774-0707

The enumeration date for this NPI number is 10/26/2007 and was last updated on 9/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		2010-01033	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2076381	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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