MR. LARRY J HATTEL M.D. NPI 1629019351

NPI Information

NPI: 1629019351
Provider Name: MR. LARRY J HATTEL, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
3235 SPARKS RD
SUITE 200
CHEYENNE, WY
ZIP 82001
Phone: (307) 638-8975
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MR. Larry J Hattel, M.D. is a cardiovascular disease internal medicine in Cheyenne, WY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. Larry J Hattel, M.D. NPI is 1629019351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3235 SPARKS RD
SUITE 200
CHEYENNE, WY
ZIP 82001-158
Phone: (307) 638-8975
Fax: (307) 634-9267

The NPI 1629019351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 2/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	4666A	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	305634	MEDICARE ID-TYPE UNSPECIFIED	WYOMING
2	1629019351	MEDICAID	WYOMING
3	P00720533	OTHER	WYOMING	RAILROAD MEDICARE - PALMETTO GBA
4	270123	MEDICARE PIN	NEBRASKA
5	C77015	MEDICARE UPIN	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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