Individual provider Active NPI

Erin T Hattan, MD

  • Neurology Physician
  • Manchester, NH
National Provider Identifier
1932355864
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
14763 Issued in NH
Practice address
185 Queen City Ave
Manchester, NH 03101
Phone
(603) 663-4800
Fax
(603) 663-4805
NPI assigned
Aug 12, 2008
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 14763 NH Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 14763 NH
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036120325 IL

Addresses

Primary practice location

185 Queen City Ave
Manchester, NH 03101

Mailing address

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 663-4800

Other practice location 1

15 Aiken Ave
Franklin, NH 03235-1259
Phone (603) 934-6562

Other practice location 2

15 Aiken Ave
Franklin, NH 03235-1259
Phone (603) 934-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000585 NH Practitioner - NeurologyPractitioner - Other (Physician) 2668508706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Warren Alpert Medical School of Brown University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036120325ILMDSleep Medicine (Internal Medicine) Physician
14763NHMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin CurrentSince Mar 3, 2010 Accepting new patients
Elliot Professional Services CurrentSince Dec 1, 2019 Accepting new patients
Lrghealthcare CurrentSince Mar 3, 2010 Accepting new patients
Lrghealthcare Sleep Medicine PastSince May 1, 2015 Accepting new patients
LRG Healthcare Past Accepting new patients

Locations

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

14 Maple St
Slp Evaluation
Gilford, NH 03249
Phone (603) 737-6755

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1932355864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017121",
            "telephone_number": "603-663-4800",
            "fax_number": "603-663-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-663-4800",
            "fax_number": "603-663-4805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Aiken Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NH",
            "postal_code": "032351259",
            "country_code": "US",
            "telephone_number": "603-934-6562",
            "fax_number": "603-934-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Aiken Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NH",
            "postal_code": "032351259",
            "country_code": "US",
            "telephone_number": "603-934-6562",
            "fax_number": "603-934-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTAN",
        "first_name": "ERIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "14763",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NH",
            "license": "14763",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036120325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.