Active NPI
Kim Alan Hatcher, MD
- Family Medicine Physician
- Indiana, PA
National Provider Identifier
1265422323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD022389E
- Practice address
- 119 Professional Ctr
1265 Wayne Avenue Suite 107
Indiana, PA 15701-3501 - Phone
- (724) 349-7980
- Fax
- (724) 349-7988
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD022389E | PA | Primary |
Addresses
Primary practice location
119 Professional Ctr
1265 Wayne Avenue Suite 107
Indiana, PA 15701-3501
Mailing address
1265 Wayne Ave Ste 107
Indiana, PA 15701-3501
Phone (724) 349-7980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022389E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1265422323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE STE 107",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-7980",
"fax_number": "724-349-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 PROFESSIONAL CTR",
"address_2": "1265 WAYNE AVENUE SUITE 107",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-7980",
"fax_number": "724-349-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "KIM",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD022389E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.