Organization Active NPI

Hatfield Physician Services, Inc.

  • Family Medicine Physician
  • Winfield, AL
National Provider Identifier
1821150855
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-649 Issued in AL
Legal business name
HATFIELD PHYSICIAN SERVICES, INC.
Practice address
200 Caraway Dr
Suite 1
Winfield, AL 35594-5048
Phone
(205) 487-3625
Fax
(205) 487-7559
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Eric Jason Hatfield, D.O.
Title
President
Phone
(205) 487-3625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO-649 AL Primary

Addresses

Primary practice location

200 Caraway Dr
Suite 1
Winfield, AL 35594-5048

Mailing address

PO Box 1857
Winfield, AL 35594-1419
Phone (205) 487-3625

Other identifiers 2

IdentifierTypeStateIssuer
051550529MedicaidAL
05150448OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

28235 AL Highway 53
Ardmore, AL 35739
Phone (256) 233-2332

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1821150855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1857",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355941419",
            "telephone_number": "205-487-3625",
            "fax_number": "205-487-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARAWAY DR",
            "address_2": "SUITE 1",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945048",
            "telephone_number": "205-487-3625",
            "fax_number": "205-487-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATFIELD PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-487-3625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550529",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05150448",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.