Organization Active NPI

Kenneth L Hatch DPM PA

  • Podiatrist
  • Annapolis, MD
National Provider Identifier
1649499179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
409 Issued in MD
Legal business name
KENNETH L HATCH DPM PA
Practice address
1831 Forest Dr
Suite C
Annapolis, MD 21401-4430
Phone
(410) 263-7093
Fax
(410) 263-7094
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Lee Hatch, D.P.M.NPI 1801896113
Title
President
Phone
(410) 263-7093

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
Podiatrist 213E00000X 409 MD Primary

Addresses

Primary practice location

1831 Forest Dr
Suite C
Annapolis, MD 21401-4430

Mailing address

1831 Forest Dr
Suite C
Annapolis, MD 21401-4430
Phone (410) 263-7093

National Provider Directory

National Provider Directory

Locations

1831 Forest Dr
Ste C
Annapolis, MD 21401
Phone (410) 263-7093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649499179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 FOREST DR",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014430",
            "telephone_number": "410-263-7093",
            "fax_number": "410-263-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 FOREST DR",
            "address_2": "SUITE C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014430",
            "telephone_number": "410-263-7093",
            "fax_number": "410-263-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L HATCH DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-263-7093",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.