Nolan Hathaway

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DR0054511 Issued in CO

Practice address

4855 Ward Rd
Wheat Ridge, CO 80033-1951

Phone

(303) 467-0500

Fax

(303) 467-0502

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Ophthalmology

Education

Michigan State University College of Human Medicine, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Colorado Coalition for the HomelessGroup PAC ID 7618958687, shared by 8 NPIs, 47 clinicians

Practice addresses (Care Compare)

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1619181203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 WARD RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331951",
            "telephone_number": "303-467-0500",
            "fax_number": "303-467-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331951",
            "telephone_number": "303-467-0500",
            "fax_number": "303-467-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 61st Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806347989",
            "country_code": "US",
            "telephone_number": "970-837-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 E Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251307",
            "country_code": "US",
            "telephone_number": "970-837-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3151 Precision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805284601",
            "country_code": "US",
            "telephone_number": "970-837-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 E 13th St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375133",
            "country_code": "US",
            "telephone_number": "970-837-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6125 Sky Pond Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389372",
            "country_code": "US",
            "telephone_number": "970-837-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "NOLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087648",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301087648",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR0054511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Brianne Harrison, RD
• Brianna Rochelle Harvey
• Courtney Lynn Hasson, CNM
• Emily Hatch, LPC
• Sarah Hatch
• Danielle Hatton
• Edmond C. Hauser, NP
• Kirsten Hawley, RN
• Geoffrey Virgil Hays
• Sarah Hays

• Ophthalmology Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.