Active NPI
Leo Martin Hattrup, MD, MPH
- Aerospace Medicine Physician
- Monument, CO
National Provider Identifier
1487981908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 41947
- Practice address
- 750 Lancers CT W
Monument, CO 80132-2806 - Phone
- (719) 659-5083
- NPI assigned
- Nov 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41947 | CO | |
| Aerospace Medicine Physician | 2083A0100X | 41947 | CO | Primary |
| Occupational Medicine Physician | 2083X0100X | 41947 | CO |
Addresses
Primary practice location
750 Lancers CT W
Monument, CO 80132-2806
Mailing address
750 Lancers CT W
Monument, CO 80132-2806
Phone (719) 659-5083
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41947 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1487981908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LANCERS CT W",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801322806",
"telephone_number": "719-659-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LANCERS CT W",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801322806",
"telephone_number": "719-659-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATTRUP",
"first_name": "LEO",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "41947",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CO",
"license": "41947",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CO",
"license": "41947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.