Provider Demographics
NPI:1245323476
Name:HATCHER, JAMES J (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:HATCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 FIRST COLONIAL RD
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6106
Mailing Address - Country:US
Mailing Address - Phone:757-491-2466
Mailing Address - Fax:757-437-9651
Practice Address - Street 1:840 FIRST COLONIAL RD
Practice Address - Street 2:SUITE 102A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6106
Practice Address - Country:US
Practice Address - Phone:757-491-2466
Practice Address - Fax:757-437-9651
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028885207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA095167OtherANTHEM BC/BS
VA006053751Medicaid
VA006053751Medicaid
VA290000002Medicare ID - Type Unspecified
VA290000002Medicare UPIN
VAB05202Medicare UPIN