Individual provider Active NPI

Elizabeth B. Hathaway, MD

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1073600110
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67842 Issued in WI
Practice address
2402 Winnebago St
Madison, WI 53704-5341
Phone
(608) 828-7603
NPI assigned
Oct 9, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67842 WI Primary

Addresses

Primary practice location

2402 Winnebago St
Madison, WI 53704-5341

Mailing address

6874 Gaulke Cir
Hazelhurst, WI 54531-3500

Other practice location 1

6874 Gaulke Cir
Hazelhurst, WI 54531-3500
Phone (615) 480-7410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehathaway7965141@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000226 TN Practitioner - Family Practice 3476457284 Reassigns benefits to 2 organizations
I20171115000570 WI Practitioner - Family PracticePractitioner - Emergency Medicine 3476457284 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67842WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 21, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 21, 2023 Accepting new patients
Vanderbilt University Medical Center Family Medicine CurrentSince Apr 30, 2016 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 21, 2023 Accepting new patients
DX Mso, PLLC CurrentSince Aug 2, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 21, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 21, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 21, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 21, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 30, 2017 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 21, 2023 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Aug 2, 2025 Accepting new patients
Vanderbilt Integrated Providers, LLC Family Medicine Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

Dept AT 40379
Atlanta, GA 31192

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303
Phone (423) 381-0152

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

200 Strahl St
Franklin, TN 37064
Phone (615) 550-5034

919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9601 Townline Rd
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: ehathaway7965141@direct.uwhealth.org
  • Direct secure messaging: elizabeth.hathaway@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1073600110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 GAULKE CIR",
            "city": "HAZELHURST",
            "state": "WI",
            "postal_code": "545313500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WINNEBAGO ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045341",
            "telephone_number": "608-828-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6874 Gaulke Cir",
            "address_purpose": "LOCATION",
            "city": "Hazelhurst",
            "state": "WI",
            "postal_code": "545313500",
            "country_code": "US",
            "telephone_number": "615-480-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "67842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehathaway7965141@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2402 Winnebago St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537045341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.