Active NPI
Melvin William Hatfield, CNP
- Family Nurse Practitioner
- Mansfield, OH
National Provider Identifier
1962484527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP04070
- Practice address
- 335 Glessner Ave
Mansfield, OH 44903-2269 - Phone
- (419) 522-2833
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP04070 | OH | Primary |
Addresses
Primary practice location
335 Glessner Ave
Mansfield, OH 44903-2269
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Other practice location 1
111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359577 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04070 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Trauma Services LTD | Past | Accepting new patients | |
| Muskingum Emergency Physicia | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Zanesville, OH
- NPI 1790791929
-
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1285622688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1962484527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032269",
"telephone_number": "419-522-2833"
}
],
"practiceLocations": [
{
"address_1": "111 S Grant Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154701",
"country_code": "US",
"telephone_number": "614-566-9160",
"fax_number": "614-566-8392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATFIELD",
"first_name": "MELVIN",
"middle_name": "WILLIAM",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP04070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2359577",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.