Individual provider Active NPI

Jonathan Leo Hatch, MD

  • Otolaryngology Physician
  • West Jordan, UT
National Provider Identifier
1205148541
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10456892-1205 Issued in UT
Practice address
3584 W 9000 S Ste 311
West Jordan, UT 84088-4775
Phone
(801) 566-8304
Fax
(801) 566-8330
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 38365 SC
Otolaryngology Physician 207Y00000X 27421 NE
Otolaryngology Physician 207Y00000X 10456892-1205 UT Primary

Addresses

Primary practice location

3584 W 9000 S Ste 311
West Jordan, UT 84088-4775

Mailing address

3584 W 9000 S Ste 311
West Jordan, UT 84088-4775
Phone (801) 566-8304

Other practice location 1

4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 559-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20210817003799 UT Practitioner - Otolaryngology 8022324193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Creighton University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38365SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Apr 20, 2025 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
South Valley Ear Nose and Throat Associates, PLLC Otolaryngology CurrentSince Sep 7, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 20, 2025 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1225 E Fort Union Blvd
Ste 120
Midvale, UT 84047
Phone (801) 563-1116

3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400

4651 W 13400 S
Ste 120
Riverton, UT 84096

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

5169 S Cottonwood St
Ste 310
Salt Lake City, UT 84107
Phone (801) 507-3444

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

3584 W 9000 S
Ste 311
West Jordan, UT 84088
Phone (801) 566-8304

Interoperability endpoints

  • Direct secure messaging: southvalleyent.jonathanhatch@153057.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1205148541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 Leavenworth St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681051053",
            "country_code": "US",
            "telephone_number": "402-559-5208",
            "fax_number": "402-559-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "JONATHAN",
        "middle_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "38365",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "27421",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "10456892-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.