Active NPI
Mark D Hatch, MD
- Orthopaedic Surgery Physician
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9749223-1205
- Practice address
- 900 Round Valley Dr Ste 100
Park City, UT 84060-7552 - Phone
- (435) 655-6600
- NPI assigned
- Jun 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9749223-1205 | UT | Primary |
Addresses
Primary practice location
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Mailing address
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone (435) 655-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- George Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Round Valley Dr
Suite 100
Park City, UT 84060-7552
Phone (435) 655-6600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9749223-1205 | UT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosenberg Cooley Metcalf LC | Orthopaedic Surgery | Current | Accepting new patients |
| Rosenberg Cooley Metcalf LC | Orthopaedic Surgery | Current | Accepting new patients |
| Physician Group of Utah Inc | Current | Accepting new patients |
Locations
380 E 1500 S
Ste 103
Heber City, UT 84032
Phone (435) 655-6600
900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600
6340 S 3000 E
Ste 200
Salt Lake City, UT 84121
Phone (435) 655-6600
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJFECD
Organizations & group practices 3
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
- Park City, UT
- NPI 1649374216
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Orthopaedic Surgery Physician
- Heber City, UT
- NPI 1518713304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Heber City, UT
- NPI 1316055205
-
- General Acute Care Hospital
- Park City, UT
- NPI 1851530984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1821318494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ROUND VALLEY DR STE 100",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607552",
"telephone_number": "435-655-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUND VALLEY DR STE 100",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607552",
"telephone_number": "435-655-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "MARK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-07",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "9749223-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.