Burke Mark Hatch, M.D.
Individual provider Active NPI Emergency Medicine Physician · Salt Lake City, UT
NPI 1770769895 · NPPES record last updated Jan 18, 2008
Key facts
- NPI
- 1770769895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 6851412-1205 (UT)
- Practice address
- 30 N 1900 E
Room 1C26 Som
Salt Lake City, UT 84132-0006 - Phone
- (801) 581-2272
- Fax
- (801) 585-0603
- NPI assigned
- Jan 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Emergency Physicians
Ihc Health Services Inc
Practice addresses (Care Compare)
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-9700
905 N 1000
Tremonton, UT 84337-9356
Phone (435) 207-4500
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Intermountain Health Layton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.98 of 100
- Quality
- 85.2
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090512000287 | UT | Practitioner - Emergency Medicine | 8022167519 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851412-1205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Utah Emergency Physicians | Emergency Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
8th Ave C St E
Salt Lake City, UT 84143
Phone (218) 929-0674
5373 S Green St
Salt Lake City, UT 84123
Phone (801) 442-2670
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6851412-1205 | UT | Yes |
Addresses
Primary practice location
30 N 1900 E
Room 1C26 Som
Salt Lake City, UT 84132-0006
Mailing address
30 N 1900 E
Room 1C26 Som
Salt Lake City, UT 84132-0002
Phone (801) 581-2272
Other providers in Salt Lake City, UT
- Amanda Hatch
- Angalee Hatch
- Angela Hatch
- Brendan Hatch
- Brent Hatch
- Cameron Earl Hatch
- Deborah Hatch
- Douglas Jay Hatch
- Heather C Hatch
- Jacob B. Hatch
All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.