Larry J Hattel, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4666A Issued in WY

Practice address

3235 Sparks Rd
Suite 200
Cheyenne, WY 82001-6158

Phone

(307) 638-8975

Fax

(307) 634-9267

NPI assigned

Jun 10, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://soap.crmcwy.org/fhirproxy/api/FHIR/R4

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.

• Willow Creek Family Medicine, P.C.

  • Family Nurse Practitioner
  • Cheyenne, WY
  • NPI 1184800674
  Medicare reassignment NPD
• Mountain West Surgical Specialists LLC

  • Trauma Surgery Physician
  • Cheyenne, WY
  • NPI 1366209645
  NPD
• Mountain Falls Clinic, P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Cheyenne, WY
  • NPI 1750475422
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1629019351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 RAWLINS ST.",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011800",
            "telephone_number": "307-638-8975",
            "fax_number": "307-634-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 SPARKS RD",
            "address_2": "SUITE 200",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016158",
            "telephone_number": "307-638-8975",
            "fax_number": "307-634-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTEL",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "4666A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629019351",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PALMETTO GBA",
            "identifier": "P00720533",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Hartnell
• Ashley Michelle Hartz
• Joanne Laura Hassell, M.D.
• Ernest Hastey
• Diane E Hattel, FNP-C
• Haug & Associates
• Rodney J Haug, PH.D.
• Linnea Haun, MS, PPC
• Trista Ann Hauser-Smith, AU.D.
• Haven Behavioral Health Institute and Consulting, LLP

• Cardiovascular Disease Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Cardiovascular Disease Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.