Active NPI
A Hatton Blair, M.D.
- Family Medicine Physician
- Malvern, PA
National Provider Identifier
1003815044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD432607
- Practice address
- 2140 Howell Rd
Malvern, PA 19355-9518 - Phone
- (610) 651-2713
- Fax
- (651) 651-2713
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD432607 | PA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD432607 | PA |
Addresses
Primary practice location
2140 Howell Rd
Malvern, PA 19355-9518
Mailing address
2140 Howell Rd
Malvern, PA 19355-9518
Phone (610) 651-2713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126457406 | Medicaid | TX | |
| 8510M0 | Other | BCBS OF TX PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432607 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1003815044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 HOWELL RD",
"city": "MALVERN",
"state": "PA",
"postal_code": "193559518",
"telephone_number": "610-651-2713",
"fax_number": "651-651-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 HOWELL RD",
"city": "MALVERN",
"state": "PA",
"postal_code": "193559518",
"telephone_number": "610-651-2713",
"fax_number": "651-651-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "A",
"middle_name": "HATTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD432607",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "MD432607",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126457406",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX PROVIDER #",
"identifier": "8510M0",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
- Bewell Home Physical Therapy, Inc
- Jacqueline Mireille Beyala, PHARMD
- Christine Bibelheimer, M.S.ED., BCBA
- Jerome N Bibelheimer, M.S.ED., BCBA
- Mary Margaret Bischoff, PH.D.
- Katherine Streitel Borst, M.D.
- Anya Eden Boswell, P.T
- Constance Marie Bowes, PHD
- Danielle Cristina Boyle, CRNP
- Lindsay Elizabeth Brady, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.