Active NPI
Robert M Hatcher, DPM
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
National Provider Identifier
1104867704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 110
- Practice address
- 1418 E Millbrook Rd
Raleigh, NC 27609-4812 - Phone
- (919) 850-9111
- Fax
- (919) 850-2499
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 110 | NC | Primary |
Addresses
Primary practice location
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Mailing address
PO Box 98209
Raleigh, NC 27624-8209
Phone (919) 850-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908073 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110 | NC | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1104867704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98209",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276248209",
"telephone_number": "919-850-9111",
"fax_number": "919-850-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 E MILLBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094812",
"telephone_number": "919-850-9111",
"fax_number": "919-850-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908073",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.