Healthcare Provider Details

I. General information

NPI: 1386931434
Provider Name (Legal Business Name): JENNIFER LEIGH HATTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 W MARKET ST STE 200
LIMA OH
45805-2796
US

IV. Provider business mailing address

803 W MARKET ST STE 200
LIMA OH
45805-2796
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-3737
  • Fax: 419-229-3234
Mailing address:
  • Phone: 419-222-3737
  • Fax: 419-229-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number46785
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.130228
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01087186A
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: