MALCOLM K HATFIELD (NPI# 1629090410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629090410 |
| Entity Type | Individual |
| Full Name | MALCOLM K HATFIELD |
| Credential | MD |
| Practice Address |
1055 Prairie Dr Suite D Mount Pleasant WI 53406-3971 |
| Practice Telephone | 2628987100 |
| Practice Fax Number | 2628987100 |
| Mailing Telephone | 2628987100 |
| Mailing Fax Number | 2628987171 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
29922 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31514200 | 05 |
| Street Address |
1055 PRAIRIE DR SUITE D |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486786 | Tara Noone | Radiology | 545 Planters Loop, Mount Pleasant, SC 29464-2743 | 2020-08-04 |
| 1932404134 | Carolina Imaging Specialists, LLC | Radiology | 582 Lone Tree Dr, Mount Pleasant, SC 29464-8170 | 2011-01-19 |
| 1922020023 | Beverly M Genez | Radiology | 636 G Longpoint Rd, #125, Mount Pleasant, SC 29464-7905 | 2006-07-25 |
| 1760439749 | James A Thesing | Radiology | 953 Houston Northcutt Blvd, Mount Pleasant, SC 29464-3468 | 2006-05-27 |
| 1770534968 | Richard C Holgate | Radiology | 1341 Old Georgetown Rd, Suite C, Mount Pleasant, SC 29464-7307 | 2006-05-13 |
| 1770532525 | Gretchen Wriston Gwynette | Radiology | 1394 Center Lake Dr, Mount Pleasant, SC 29464-7420 | 2006-05-09 |
| 1871542035 | Jon Allen Carmain | Radiology | 1241 Woodland Avenue, Mount Pleasant, SC 29464 | 2006-05-08 |
| 1013977040 | Brian L Burke | Radiology | 1241 Woodland Ave, Mount Pleasant, SC 29464-3288 | 2006-03-24 |
| 1497729156 | Matthew John Hoffman | Radiology | 1029 E Oakbrook Ln, Mount Pleasant, IA 52641-2719 | 2006-02-16 |
| 1316340805 | South Carolina Radiology Group, LLC | Radiology | 2000 Hospital Dr, Mount Pleasant, SC 29464-3764 | 2014-09-29 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.