Active NPI
Stephan Hatch, M.D.
- Anesthesiology Physician
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 234074
- Practice address
- 365 Montauk Ave
Anesthesia Department
New London, CT 06320 - Phone
- (860) 442-0711
- Fax
- (860) 443-4458
- NPI assigned
- May 30, 2006
- Last updated
- Jul 23, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24180 | NY | |
| Anesthesiology Physician | 207L00000X | 042.0012965 | VT | |
| Anesthesiology Physician | 207L00000X | 234074 | MA | Primary |
Addresses
Primary practice location
365 Montauk Ave
Anesthesia Department
New London, CT 06320
Mailing address
PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 777-1439
Other practice location 1
1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300
Other practice location 2
1100 Hinesburg Rd
South Burlington, VT 05403-7613
Phone (802) 862-1808
Other practice location 3
5 Johnson Rd
Latham, NY 12110-3003
Phone (518) 782-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144277609 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Vermont College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24180 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of New York - Patchogue PC | Anesthesiology | Current | Accepting new patients |
| Beverly Anesthesia Associates, Inc. | Anesthesiology | Current | Accepting new patients |
| North Shore Ambulatory Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of New London, PC | Anesthesiology | Past | Accepting new patients |
| Milford Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
480 Maple St
Ste C233A
Danvers, MA 01923
Phone (978) 304-8690
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Patchogue, NY
- NPI 1366920993
NH
-
- Anesthesiology Physician
- Danvers, MA
- NPI 1427041268
-
- Anesthesiology Physician
- Peabody, MA
- NPI 1821535378
-
- Anesthesiology Physician
- New London, CT
- NPI 1205881117
-
- Anesthesiology Physician
- Milford, CT
- NPI 1932152097
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1245447994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1144277609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042411849",
"telephone_number": "207-777-1439",
"fax_number": "207-777-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MONTAUK AVE",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-442-0711",
"fax_number": "860-443-4458"
}
],
"practiceLocations": [
{
"address_1": "1440 Main St",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024511631",
"country_code": "US",
"telephone_number": "781-891-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Hinesburg Rd",
"address_purpose": "LOCATION",
"city": "South Burlington",
"state": "VT",
"postal_code": "054037613",
"country_code": "US",
"telephone_number": "802-862-1808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Johnson Rd",
"address_purpose": "LOCATION",
"city": "Latham",
"state": "NY",
"postal_code": "121103003",
"country_code": "US",
"telephone_number": "518-782-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCH",
"first_name": "STEPHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "24180",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "042.0012965",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "234074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144277609",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.