Individual provider Active NPI

Jeremy P Hatch, M.D.

  • Orthopaedic Surgery Physician
  • Bluffton, SC
National Provider Identifier
1801838248
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2036552 Issued in SC
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

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1014109MedicaidVT
P00618356OtherVTRAILROAD MEDICARE
365526MedicaidSC

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2036552SCMDOrthopaedic Surgery Physician
042-0011130VTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blacksburg Orthopaedics, PC Orthopaedic Surgery PastSince Feb 13, 2007 Accepting new patients
New River Valley Orthopaedics & Sports Medicine, Inc. Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeremy.hatch.p23@direct.tenet.nextgenshare.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.