Christopher Martin Hatwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106750 Issued in FL

Practice address

531 Bald Eagle Dr
Marco Island Medical Center
Marco Island, FL 34145-2700

Phone

(239) 393-2000

Fax

(239) 393-0355

NPI assigned

Sep 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Joseph Vickaryous D.O. P.a.

  • Family Medicine Physician
  • Marco Island, FL
  • NPI 1164751400
  Medicare reassignment

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1164773610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 BALD EAGLE DR",
            "address_2": "MARCO ISLAND MEDICAL CENTER",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452700",
            "telephone_number": "239-393-2000",
            "fax_number": "239-393-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 BALD EAGLE DR",
            "address_2": "MARCO ISLAND MEDICAL CENTER",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452700",
            "telephone_number": "239-393-2000",
            "fax_number": "239-393-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106750",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007241200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y0E6E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Chester Hansell, D.C.
• Thomas Joseph Haran
• Magen Hardardt
• Tristin Harris
• Summer Harrison
• Larry Gilbert Heine, RPH
• Karen Elaine Henry, DSP
• Katerin Elizabeth Hernandez-Castro
• Erica Hernandez
• Bethany Hesseltine

• Physician Assistant in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.