| Jonathan Leo Hatch, MD | |
|
3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 | |
| (801) 566-8304 | |
| (801) 566-8330 |
| Full Name | Jonathan Leo Hatch |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 16 Years |
| Location | 3584 W 9000 S Ste 311, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205148541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 38365 (South Carolina) | Secondary |
| 207Y00000X | Otolaryngology | 27421 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 10456892-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| South Valley Ear Nose And Throat Associates Pllc | 9335125855 | 10 |
| Entity Name | South Valley Ear Nose And Throat Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508926551 PECOS PAC ID: 9335125855 Enrollment ID: O20040625000769 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Leo Hatch, MD 3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 Ph: (801) 566-8304 | Jonathan Leo Hatch, MD 3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 Ph: (801) 566-8304 |
Dr. Peter Corless Anderson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S, Ste. 311, West Jordan, UT 84088 Phone: 801-566-8304 | |
Dr. Brian R Peterson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S, Suite 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8304 | |
Dr. Amir Allak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S Ste 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Dr. Ryan Max Gilbert, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3584 W 9000 S, Suite 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 | |
Garner B Meads Jr., MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3584 W 9000 S, Ste 311, West Jordan, UT 84088 Phone: 801-566-8304 Fax: 801-566-8330 |