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DR. PETER BLAINE HATHAWAY M.D. NPI 1730187824


NPI Information

NPI: 1730187824
Provider Name: DR. PETER BLAINE HATHAWAY, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
1433 N 1075 W STE 104
FARMINGTON, UT
ZIP 84025
Phone: (801) 298-1300
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DR. Peter Blaine Hathaway, M.D. is a vascular and interventional radiology radiology in Farmington, UT with 31 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Peter Blaine Hathaway, M.D. NPI is 1730187824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1433 N 1075 W STE 104
FARMINGTON, UT
ZIP 84025-746
Phone: (801) 298-1300

The NPI 1730187824 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ct scan head or brain (HCPCS:70450)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

The enumeration date for this NPI number is 7/12/2005 and was last updated on 2/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology372564-1205UTAHNo
22085R0204XRadiologyVascular & Interventional Radiology372564-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D2916MEDICAIDUTAH
2927733MEDICAIDARIZONA
3002089152MEDICAIDNEVADA
4120828400MEDICAIDWYOMING
54456436MEDICAIDCALIFORNIA
68067535MEDICAIDIDAHO
7P00196218OTHERUTAHRR MEDICARE
8P00651533OTHERUTAHRR MEDICARE

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

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