Active NPI
Jeremy P Hatch, M.D.
- Orthopaedic Surgery Physician
- Bluffton, SC
National Provider Identifier
1801838248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2036552
- Practice address
- 75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965 - Phone
- (843) 682-7480
- Fax
- (843) 705-7034
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 042-0011130 | VT | |
| Orthopaedic Surgery Physician | 207X00000X | 2036552 | SC | Primary |
Addresses
Primary practice location
75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Mailing address
272 Bamberg Dr
Bluffton, SC 29910-7400
Phone (802) 370-2879
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014109 | Medicaid | VT | |
| P00618356 | Other | VT | RAILROAD MEDICARE |
| 365526 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2036552 | SC | MD | Orthopaedic Surgery Physician |
| 042-0011130 | VT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blacksburg Orthopaedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
| New River Valley Orthopaedics & Sports Medicine, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- jeremy.hatch.p23@direct.tenet.nextgenshare.com
- jeremy.hatch.p197@direct.tenet.nextgenshare.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Blacksburg, VA
- NPI 1659474807
-
- Specialist
- Blacksburg, VA
- NPI 1467623405
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1801838248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BAMBERG DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299107400",
"telephone_number": "802-370-2879",
"fax_number": "843-705-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BAYLOR DR",
"address_2": "SUITE 155",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108965",
"telephone_number": "843-682-7480",
"fax_number": "843-705-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "JEREMY",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VT",
"license": "042-0011130",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "2036552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014109",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00618356",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "365526",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.