Organization Active NPI

John E Hategan, M.D. P C

  • Family Medicine Physician
  • Salem, IN
National Provider Identifier
1861710303
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN E HATEGAN, M.D. P C
Practice address
101 Connie Ave
Salem, IN 47167-2305
Phone
(812) 883-9121
Fax
(812) 883-2161
NPI assigned
May 7, 2010
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Dr. John E Hategan, MDNPI 1902894546
Title
Owner
Phone
(812) 883-9121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

101 Connie Ave
Salem, IN 47167-2305

Mailing address

101 Connie Ave
Salem, IN 47167-2305
Phone (812) 883-9121

Other identifiers 1

IdentifierTypeStateIssuer
200285990AMedicaidIN

National Provider Directory

National Provider Directory

Locations

101 Connie Ave
Salem, IN 47167
Phone (812) 404-4235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1861710303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CONNIE AVE",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672305",
            "telephone_number": "812-883-9121",
            "fax_number": "812-883-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONNIE AVE",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672305",
            "telephone_number": "812-883-9121",
            "fax_number": "812-883-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E HATEGAN, M.D. P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "HATEGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-883-9121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200285990A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.