Individual provider Active NPI

Marie F Hatam, M.D.

  • Occupational Medicine Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1225050164
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
34517 Issued in AZ
Practice address
3120 W Carefree Hwy
Ste. 700-1
Phoenix, AZ 85086
Phone
(623) 245-6695
NPI assigned
Jul 23, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 34517 AZ Primary

Addresses

Primary practice location

3120 W Carefree Hwy
Ste. 700-1
Phoenix, AZ 85086

Mailing address

3120 W Carefree Hwy
Ste. 700-1
Phoenix, AZ 85086-3201
Phone (623) 245-6695

Other practice location 1

14780 W Mountain View Blvd Ste 110
Surprise, AZ 85374-7280
Phone (162) 337-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1225050164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY",
            "address_2": "STE. 700-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863201",
            "telephone_number": "623-245-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY",
            "address_2": "STE. 700-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-245-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W Mountain View Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "162-337-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATAM",
        "first_name": "MARIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AZ",
            "license": "34517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.