Thomas Fahed Hattar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0050321 Issued in MD

Practice address

2009 Tidewater Colony Drive
Annapolis, MD 21401-0000

Phone

(410) 224-7615

Fax

(410) 224-7240

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154438497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 TIDEWATER COLONY DRIVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214010000",
            "telephone_number": "410-224-7615",
            "fax_number": "410-224-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 TIDEWATER COLONY DRIVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214010000",
            "telephone_number": "410-224-7615",
            "fax_number": "410-224-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAR",
        "first_name": "THOMAS",
        "middle_name": "FAHED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL AVIATION ADMIN",
            "identifier": "251894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Hastings
• Kenneth L. Hatch, D.P.M.
• Charles P Hatcher, MD
• Thomas Jefferson Hatfield III, CPRS
• Marianne Hatle, MD
• Jennifer Hatto, D.O.
• Holly Lynn Hattom
• Chelsea Haverly, LCSW-C
• Amanda C Hayden, LCSWC
• Margaret Evans Hayden, RN, IBCLC

• Internal Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.