NPIMap

Organization Active NPI

Hatch Pediatrics LLC

  • Pediatrics Physician
  • Bozeman, MT
National Provider Identifier
1073974135
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11251 Issued in MT
Legal business name
HATCH PEDIATRICS LLC
Practice address
280 W Kagy Blvd
Suite G
Bozeman, MT 59715-6056
Phone
(406) 580-1046
NPI assigned
Mar 16, 2016
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Dr. Susan Marie Daniels, MDNPI 1700806510
Title
Owner
Phone
(406) 580-1046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11251 MT Primary

Addresses

Primary practice location

280 W Kagy Blvd
Suite G
Bozeman, MT 59715-6056

Mailing address

280 W Kagy Blvd
Suite G
Bozeman, MT 59715-6056
Phone (406) 580-1046

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D1102553Hatch Pediatrics, LLC280 W Kagy Blvd, Ste G, Bozeman, MT 59715ComplianceJan 18, 2028

National Provider Directory

National Provider Directory

Locations

280 W Kagy Blvd
Ste G
Bozeman, MT 59715
Phone (406) 522-5437

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1073974135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD",
            "address_2": "SUITE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-580-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD",
            "address_2": "SUITE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-580-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCH PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-580-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "11251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.