Individual provider Active NPI

Stephan Hatch, M.D.

  • Anesthesiology Physician
  • New London, CT
National Provider Identifier
1144277609
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
234074 Issued in MA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1144277609MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20071015000511 MA Practitioner - Anesthesiology 1850328790 Reassigns benefits to 3 organizations
I20130920000562 NY Practitioner - Anesthesiology 1850328790 Reassigns benefits to 1 organization
I20250204000035 NH Practitioner - Anesthesiology 1850328790 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
24180NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York - Patchogue PC Anesthesiology CurrentSince Nov 22, 2024 Accepting new patients
Beverly Anesthesia Associates, Inc. Anesthesiology CurrentSince Oct 8, 2007 Accepting new patients
North Shore Ambulatory Anesthesia Partners LLC Anesthesiology CurrentSince Mar 6, 2024 Accepting new patients
Anesthesia Associates of New London, PC Anesthesiology PastSince Dec 9, 2019 Accepting new patients
Milford Anesthesia Associates LLC Anesthesiology PastSince Sep 25, 2019 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.