DR. ANDREW HATKOFF (NPI# 1275986705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275986705 |
| Entity Type | Individual |
| Full Name | DR. ANDREW HATKOFF |
| Credential | DO |
| Practice Address |
1000 Harrington Blvd Mclaren Macomb Hospital Mount Clemens MI 48043 |
| Mailing Address |
14918 Atwater Drive Unit 10202 Sterling Heights MI 48313 |
| Practice Telephone | 5864938000 |
| Mailing Telephone | 7189869997 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101022653 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1000 HARRINGTON BLVD MCLAREN MACOMB HOSPITAL |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164475687 | Dorothy M Halperin | Pathology | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-05-18 |
| 1659724177 | Adam Peterson | Student in an Organized Health Care Education/Training Program | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2016-07-20 |
| 1679669352 | Julie A Tremblay | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1871689380 | Walter J Sworst | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1841386547 | Nicole A Dimuzio | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-04 |
| 1649365164 | William G Dallas | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1720172414 | Paul A Mailloux | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1144315755 | Victoria L Struebing | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1740374362 | Jerome D Querns | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| 1528152279 | Kim M Jones | Nurse Anesthetist, Certified Registered | 1000 Harrington Blvd, Mount Clemens, MI 48043 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| 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 |
|---|---|---|---|---|
| 1215291570 | Tracy Shih-chieh Chen | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2012-07-01 |
| 1881905305 | Osman M Tahir | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2010-06-30 |
| 1720286230 | Nadir Mohammad Khan | Radiology | 1000 Harrington St, Diagnostic Radiology Dept, Mount Clemens, MI 48043-2920 | 2007-07-05 |
| 1437360864 | Tejas Ajay Dalal | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-25 |
| 1063620540 | Affaan Khan Bangash | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-18 |
| 1386859775 | Jeremy S Kendra | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-11 |
| 1194939710 | Roshan Balakrishna Pai | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-10 |
| 1477660280 | George L. Figacz | Radiology | 1000 Harrington St, Radiology Dept, Mount Clemens, MI 48043-2920 | 2006-08-25 |
| 1801801519 | General Radiology Associates, P.C. | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2006-07-30 |
| 1285666909 | Timothy P Pierron | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2006-07-06 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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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.