NPIMap

Individual provider Active NPI

David Clark Hatch, M.D.

  • Diagnostic Radiology Physician
  • North Platte, NE
National Provider Identifier
1407871908
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21277 Issued in NE
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 647-6444
Fax
(308) 647-6433
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 21277 NE Primary

Addresses

Primary practice location

601 W Leota St
North Platte, NE 69101-6525

Mailing address

PO Box 362
North Platte, NE 69103-0362
Phone (308) 647-6444

Other identifiers 3

IdentifierTypeStateIssuer
7705720MedicaidSD
300133488OtherMEDICARE RAILROAD
35792OtherNEBLUE CROSS / BLUE SHIELDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115001242 NE Practitioner - Diagnostic Radiology 3375647324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Community Hospital Hospital, McCook, NE, CCN 281363
  • Perkins County Health Services Hospital, Grant, NE, CCN 281356
  • Cherry County Hospital Hospital, Valentine, NE, CCN 281344
  • Jennie M Melham Memorial Medical Center Hospital, Broken Bow, NE, CCN 281365

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients

Locations

527 N Diers Ave
Ste 3
Grand Island, NE 68803
Phone (308) 675-3211

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 2

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 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1407871908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691030362",
            "telephone_number": "308-647-6444",
            "fax_number": "308-647-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-647-6444",
            "fax_number": "308-647-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "DAVID",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "21277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705720",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300133488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELDS",
            "identifier": "35792",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.