Keith Michael Hatch, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA. 200541 Issued in LA

Practice address

1978 Industrial Blvd
Houma, LA 70363-7055

Phone

(985) 873-1800

NPI assigned

Jul 2, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Lafourche Medical Group LLCGroup PAC ID 0941529432, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307
• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lafourche Medical Group LLC

  dba Lafourche Urgent Care

  • Urgent Care Clinic/Center
  • Raceland, LA
  • NPI 1164811790
  Medicare reassignment Care Compare group
• Children's Hospital

  dba Manning Family Children's

  • Specialist
  • New Orleans, LA
  • NPI 1043230873
  Medicare reassignment NPD
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Medicare reassignment NPD
• Bayou Urgent Care LLC

  dba Bayou Urgent Care

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1013313402
  Medicare reassignment
• Louisiana State University School of Medicine in New Orleans Faculty

  dba LSU ED Billing

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1275984973
  Medicare reassignment
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Medicare reassignment
• Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1568597649
  NPD
• Millinocket Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Millinocket, ME
  • NPI 1578677456
  NPD
• Eye Center of St Bernard

  dba The Eye Center of St Bernard

  • Ophthalmology Physician
  • Chalmette, LA
  • NPI 1760606818
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Care Compare affiliation

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1609130913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 AUTUMN DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606099",
            "telephone_number": "985-226-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-873-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA. 200541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305468",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovonne Elesha Harris
• Krystal Harris
• Marion Harris
• Taylor Simone Hartman
• Ernest Harvey
• Louis Carter Havens, BA
• Hawthorne Pulmonary LLC
• Megan Waalk Hawthorne, CSFA
• Michael L Hawthorne, M.D.
• Haydel Asthma & Allergy Clinic

• Physician Assistant in Houma, LA
• Providers in Houma, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.