Organization Active NPI

Panhat

  • Foot & Ankle Surgery Podiatrist
  • Athens, PA
National Provider Identifier
1487852604
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004047L Issued in PA
Legal business name
PANHAT
Practice address
417 N Main St
Athens, PA 18810-1817
Phone
(607) 426-0275
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Joseph Edward Hatef, DPMNPI 1730184185
Title
Partner
Phone
(607) 426-0275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC004047L PA Primary

Addresses

Primary practice location

417 N Main St
Athens, PA 18810-1817

Mailing address

417 N Main St
Athens, PA 18810-1817
Phone (607) 426-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000056 PA Part B Supplier - Clinic/Group Practice 7810893419 Receives reassigned benefits from 2 practitioners
Practice locations: Athens, PA; Sayre, PA

National Provider Directory

National Provider Directory

Locations

417 N Main St
Athens, PA 18810
Phone (570) 888-2122

1 Guthrie Sq
Fl 4
Sayre, PA 18840
Phone (570) 887-6724

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1487852604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "607-426-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "607-426-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HATEF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "607-426-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004047L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.