Healthcare Provider Details

I. General information

NPI: 1942480405
Provider Name (Legal Business Name): JOHN W HATCHETT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E 5TH ST STE A
BARTLESVILLE OK
74003-3942
US

IV. Provider business mailing address

501 E 5TH ST STE A
BARTLESVILLE OK
74003-3942
US

V. Phone/Fax

Practice location:
  • Phone: 918-335-2900
  • Fax: 918-213-4989
Mailing address:
  • Phone: 918-335-2900
  • Fax: 918-213-4989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number13606
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number13606
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number13606
License Number StateOK

VIII. Authorized Official

Name: EVELYN A KENNEDY
Title or Position: OFFICE MANAGER
Credential:
Phone: 918-335-2900