Brian R Hatten (NPI# 1073592788, PAC ID# 2961487830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1073592788 |
| PAC ID by PECOS | 2961487830 |
| Professional Enrollment ID | I20040623001201 |
| Full Name | Brian R Hatten |
| Organization Legal Name | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Address |
1075 Mason Ave Daytona Beach FL 32117-4611 |
| Phone Number | 3862554596 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335123504 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100118 | FLORIDA HOSPITAL FLAGLER |
| Address | Phone | Organization |
|---|---|---|
| 1075 Mason Ave, Daytona Beach, FL 32117-4611 | 3862554596 | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| 1890 Lpga Blvd, Suite 240, Daytona Beach, FL 32117-7131 | 3862554596 | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 92% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Organization Legal Name | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Mccall | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Mark C Gillespy | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Brooke D Tolland | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Sara Josephine Merritt | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Richard Mitchel Fuentes | Physical Therapy | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Robert N Page Jr. | Physical Therapy | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Elton G Miranda | Nurse Practitioner | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Christopher J Matthews | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Jeffrey N Harrell | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Michael Lewis Hensler Jr. | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Street Address |
1075 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32117-4611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Mccall | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Mark C Gillespy | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Brooke D Tolland | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Sara Josephine Merritt | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Richard Mitchel Fuentes | Physical Therapy | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Robert N Page Jr. | Physical Therapy | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Elton G Miranda | Nurse Practitioner | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Christopher J Matthews | Orthopedic Surgery | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Jeffrey N Harrell | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Michael Lewis Hensler Jr. | Physician Assistant | Orthopaedic Clinic of Daytona Beach Pa | 1075 Mason Ave, Daytona Beach, FL 32117-4611 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
| Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
| Find all physicians in zip 32117 | |||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DAYTONA BEACH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brian R Hatten.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.