Dr Jonathan W Hathaway, MD | |
601 28 1/4 Rd, Grand Junction, CO 81506-6022 | |
(970) 263-2670 | |
(970) 263-2686 |
Full Name | Dr Jonathan W Hathaway |
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Gender | Male |
Speciality | Pediatrics |
Location | 601 28 1/4 Rd, Grand Junction, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023336906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 87985 (Georgia) | Primary |
208000000X | Pediatrics | 49992 (Tennessee) | Secondary |
Entity Name | Privia Pediatric Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710385513 PECOS PAC ID: 3375861032 Enrollment ID: O20150409002405 |
Mailing Address | Practice Location Address |
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Dr Jonathan W Hathaway, MD Po Box 1727, Grand Junction, CO 81502-1727 Ph: (970) 256-6322 | Dr Jonathan W Hathaway, MD 601 28 1/4 Rd, Grand Junction, CO 81506-6022 Ph: (970) 263-2670 |
Dr. Tami Hutton Garmany, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-244-2275 Fax: 970-244-2222 | |
Dr. Mary E Willy, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 360 W Park Dr, Suite 201, Grand Junction, CO 81505 Phone: 970-609-7337 Fax: 970-233-9829 | |
David L. Pacini, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1120 Wellington Ave, Grand Junction, CO 81501 Phone: 970-243-5437 Fax: 970-243-7792 | |
William A. Findlay, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3150 N 12th St, Grand Junction, CO 81506 Phone: 970-243-5437 Fax: 970-243-7792 | |
Jan Leah Lamb, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 603 28 1/4 Rd, Grand Junction, CO 81506 Phone: 970-263-2670 Fax: 970-263-2686 | |
Kate Sawicki, Pediatrics Medicare: Medicare Enrolled Practice Location: 360 W Park Dr Ste 201, Grand Junction, CO 81505 Phone: 970-609-7337 |