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Physician Compare National (NPI:1346229796)

HEALTHCARE PROVIDER: PATRICK M HATFIELD MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1346229796
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5799833695
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090504000255
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HATFIELD
Individual professional last name
Provider First Name PATRICK
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1993
Individual professional's medical school graduation year
Primary Specialty DERMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PATHOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 SURGICAL ONCOLOGY
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PATHOLOGY, SURGICAL ONCOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 299 EAGLE MOUNTAIN BLVD
Group Practice or individual's line 1 address
City BATESVILLE
Group Practice or individual's city
State AR
Group Practice or individual's state
Zip Code 725014232
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 040119
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WHITE RIVER MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 041310
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 STONE COUNTY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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