NPIMap

Individual provider Active NPI

Wendell D Hatch, MD

  • Diagnostic Radiology Physician
  • Hudson, OH
National Provider Identifier
1699709212
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25.000128 Issued in OH
Practice address
5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451
Phone
(330) 655-1869
Fax
(330) 655-3828
NPI assigned
Jul 10, 2006
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9774 NV
Diagnostic Radiology Physician 2085R0202X 25.000128 OH Primary
Diagnostic Radiology Physician 2085R0202X MD60074874 WA
Diagnostic Radiology Physician 2085R0202X MD-14339 HI

Addresses

Primary practice location

5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451

Mailing address

5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451
Phone (330) 655-3800

Other identifiers 2

IdentifierTypeStateIssuer
2935891MedicaidOH
201890001MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090611000061 WA Practitioner - Diagnostic Radiology 0446220578 Reassigns benefits to 3 organizations
I20110223000408 OH Practitioner - Diagnostic Radiology 0446220578 Reassigns benefits to 1 organization
I20121003000779 WI Practitioner - Diagnostic Radiology 0446220578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akron Radiology IncGroup PAC ID 3971497066, 37 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 375-3043

3005 89TH Ave CT NW
Gig Harbor, WA 98335-6076
Phone (330) 375-3043

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-14339HIMDDiagnostic Radiology Physician
9774NVMDDiagnostic Radiology Physician
25.000128OHMDDiagnostic Radiology Physician
MD60074874WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Oct 1, 2013 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Feb 20, 2018 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Oct 1, 2013 Accepting new patients
Wadsworth Imaging, Inc Diagnostic Radiology Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Tri-State Pain Institute LLC PastSince Mar 21, 2022 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology Past Accepting new patients

Locations

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1699709212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364451",
            "telephone_number": "330-655-3800",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364451",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "WENDELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "9774",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "25.000128",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60074874",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-14339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2935891",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201890001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.