Active NPI
Steven Ludden Hatleberg, M.D.
- Internal Medicine Physician
- Hagerstown, MD
National Provider Identifier
1992768600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0027949
- Practice address
- 13424 Pennsylvania Ave
Suite 203
Hagerstown, MD 21742-2658 - Phone
- (240) 313-9850
- Fax
- (240) 313-9851
- NPI assigned
- Apr 11, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0027949 | MD | Primary |
Addresses
Primary practice location
13424 Pennsylvania Ave
Suite 203
Hagerstown, MD 21742-2658
Mailing address
11110 Medical Campus Rd 150
Hagerstown, MD 21742-6755
Phone (240) 313-9850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403490200 | Medicaid | MD |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1992768600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD 150",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426755",
"telephone_number": "240-313-9850",
"fax_number": "240-313-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13424 PENNSYLVANIA AVE",
"address_2": "SUITE 203",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422658",
"telephone_number": "240-313-9850",
"fax_number": "240-313-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATLEBERG",
"first_name": "STEVEN",
"middle_name": "LUDDEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0027949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403490200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.