Robert Wayne Hatfield (NPI# 1104826163, PAC ID# 2769571785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104826163 |
| PAC ID by PECOS | 2769571785 |
| Professional Enrollment ID | I20100325000193 |
| Full Name | Robert Wayne Hatfield |
| Organization Legal Name | KINGSPORT UROLOGY GROUP |
| Address |
1932 Brookside Dr Kingsport TN 37660-4602 |
| Phone Number | 4232464155 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1994 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3870618986 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1932 Brookside Dr, Kingsport, TN 37660-4602 | 4232464155 | KINGSPORT UROLOGY GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KINGSPORT UROLOGY GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Payne | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Kurt A Ick | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Woodrow W. Reeves | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Street Address |
1932 BROOKSIDE DR |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-4602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Payne | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Kurt A Ick | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Woodrow W. Reeves | Urology | Kingsport Urology Group | 1932 Brookside Dr, Kingsport, TN 37660-4602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | UROLOGY |
| City + Specialty | KINGSPORT + UROLOGY |
Please comment or provide details below to improve the information on Robert Wayne Hatfield.
| 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.