John E Hategan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01052717A Issued in IN

Practice address

102 Connie Ave
Suite 206
Salem, IN 47167-2311

Phone

(812) 883-9121

Fax

(812) 883-2161

NPI assigned

Oct 7, 2005

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John E Hategan, M.D. P C

  • Family Medicine Physician
  • Salem, IN
  • NPI 1861710303
  Authorized official Same address or phone

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1902894546",
    "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": "102 CONNIE AVE",
            "address_2": "SUITE 206",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672311",
            "telephone_number": "812-883-9121",
            "fax_number": "812-883-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATEGAN",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052717A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200285990A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Grundhoefer, L.C.S.W.
• Mallery Haendiges, NP
• Sara E Hall, PHARM D
• Brittany Hampton, FNP-BC
• Amanda Harritt, APRN, FNP-C
• Health Centered Foundatons & Wellness
• Gene Forrest Hedrick, DDS
• Jack T Hedrick, OD
• Kerry A Herdt, MD
• Heritage House of Salem

• Family Medicine Physician in Salem, IN
• Providers in Salem, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.