DR. PETER BLAINE HATHAWAY M.D. NPI 1730187824

NPI Information

  • NPI: 1730187824
  • Provider Name: DR. PETER BLAINE HATHAWAY, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1433 N 1075 W STE 104
    FARMINGTON, UT
    ZIP 84025
  • Phone: (801) 298-1300

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NPI Details

DR. Peter Blaine Hathaway, M.D. is a vascular and interventional radiology radiology in Farmington, UT with 33 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Varicose vein removal (HCPCS:NAN08)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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