Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Blaine Hathaway, MD

Individual provider Diagnostic Radiology Physician · NPI 1730187824

Dr. Peter Blaine Hathaway, MD is a Diagnostic Radiology in Farmington, Utah. Graduated from University of Utah School of Medicine in 1993, 33 years ago. Practices with Tooele Valley Imaging LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
33
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1433 N 1075 W Ste 104
Farmington, UT 84025-2746
Phone: (801) 298-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 372564-1205 (UT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 372564-1205 (UT)

Record details

NPI number1730187824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESFebruary 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Tooele Valley Imaging Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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