Daniel E Hathaway, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

20389 Issued in MN

Practice address

401 Phalen Blvd
Mail Stop 41103a
Saint Paul, MN 55101-5302

Phone

(651) 254-7800

Fax

(651) 254-7806

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1386618874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PHALEN BLVD",
            "address_2": "21110Q RHUEMATOLOGY DR HATHAWAY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551305302",
            "telephone_number": "651-254-7800",
            "fax_number": "651-254-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PHALEN BLVD",
            "address_2": "MAIL STOP 41103A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551015302",
            "telephone_number": "651-254-7800",
            "fax_number": "651-254-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "20389",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "17329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528877100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Hassett, PT
• Jackson Thomas Hassler
• Kent Michael Hatanpa, RN
• Isaac Roy Hatch-Gillette, LPCC
• Danielle Hatella
• Kathryn Mary Hathaway, LP
• Timothy C. Hatlestad, PT
• Kalyn Hatzenbuhler, ATC
• Alec Haug, MD
• Bertina Lovine Haug, DNP, APRN, FNP-C

• Rheumatology Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Rheumatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.