Mary Vatterott Hastings, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MOR8399 Issued in MO

Practice address

6121 N Hanley Rd
St Louis County Department of Health
Saint Louis, MO 63134-2003

Phone

(314) 615-5767

Fax

(314) 615-5629

NPI assigned

Aug 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

University of Missouri, Kansas City, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Institute for Research and Education in Family MedicineGroup PAC ID 6608833587, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 36)

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.

• Institute for Research and Education in Family Medicine

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1972567923
  Medicare reassignment Care Compare group NPD
• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)
• St Louis University

  • Optician
  • Saint Louis, MO
  • NPI 1487869863
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1932365665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S. GRAND",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-977-8492",
            "fax_number": "314-977-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N HANLEY RD",
            "address_2": "ST LOUIS COUNTY DEPARTMENT OF HEALTH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342003",
            "telephone_number": "314-615-5767",
            "fax_number": "314-615-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "MARY",
        "middle_name": "VATTEROTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8E99",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MOR8399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPIN",
            "identifier": "289050157",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Renfrew Haste
• Theresa Joy Hasting, WHNP-BC
• Anna Hastings, MA, BCBA, LBA
• Corey Hastings, DDS, MS
• Mary K Hastings, PT
• Michelle Renee Hastings, PH.D.
• Shawn Claire Hastings
• Carole Hatch, PH.D
• Elizabeth M Hatchard, RD
• Edgar W Hatcher, MSHS, MDIV

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.

Verify at the official NPI Registry.