Active NPI
Jonathan Leo Hatch, MD
- Otolaryngology Physician
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 10456892-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38365 | SC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| South Valley Ear Nose and Throat Associates, PLLC | Otolaryngology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Otolaryngology Physician
- West Jordan, UT
- NPI 1508926551
-
- Family Medicine Physician
- Cedar City, UT
- NPI 1922132828
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Heber City, UT
- NPI 1316055205
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.