Active NPI
James L Hatch, MD
- Diagnostic Radiology Physician
- Woodruff, WI
National Provider Identifier
1104844323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22109-020
- Practice address
- 240 Maple Street
Woodruff, WI 54568-0470 - Phone
- (715) 356-8000
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22109-020 | WI | Primary |
Addresses
Primary practice location
240 Maple Street
Woodruff, WI 54568-0470
Mailing address
240 Maple Street
PO Box 470
Woodruff, WI 54568-0470
Phone (715) 356-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-54146 | Other | IL | IL LICENSE # |
| 22109-020 | Other | WI | WI LICENSE # |
| 30635200 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22109-020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104844323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAPLE STREET",
"address_2": "PO BOX 470",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "545680470",
"telephone_number": "715-356-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAPLE STREET",
"city": "WOODRUFF",
"state": "WI",
"postal_code": "545680470",
"telephone_number": "715-356-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "JAMES",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "22109-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE #",
"identifier": "036-54146",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI LICENSE #",
"identifier": "22109-020",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30635200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.