Ralph Robert Hatlelid, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R3B09 Issued in MO

Practice address

318 E Swon Ave
Saint Louis, MO 63119-3112

Phone

(314) 395-1876

Fax

(314) 395-1876

NPI assigned

Aug 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ahmed Aboul-Magd PC

  • Nephrology Physician
  • Joplin, MO
  • NPI 1588678916
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1184056830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E SWON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193112",
            "telephone_number": "314-395-1876",
            "fax_number": "314-395-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E SWON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193112",
            "telephone_number": "314-395-1876",
            "fax_number": "314-395-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLELID",
        "first_name": "RALPH",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R3B09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hatfill & Boothe Corp
• Taylor Jon Hathaway
• Carolyn Hathawayduchars, M.D.
• Vivian Mai Hathuc, D.O.
• John Michael Hatlelid, M.D.
• Marsha Aaliyah Hatley, MD
• Katey Hatter, DC
• Krystle Hatton, EMT-P, CJT
• Lisa Terrell Hatz, LCSW
• Amy Campion Hauch, CPNP-PC

• Nephrology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.