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

Elizabeth B. Hathaway, MD

Individual provider Family Medicine Physician · NPI 1073600110

Elizabeth B. Hathaway, MD is a Family Practice in Madison, Wisconsin. Graduated from University of South Alabama College of Medicine in 1990, 36 years ago. Practices with Dx MSO PLLC, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
36
Trained at
University of South Alabama College of Medicine
Licensed in
WI
In the registry since
2006
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

2402 Winnebago St
Madison, WI 53704-5341
Phone: (608) 828-7603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6874 Gaulke Cir, Hazelhurst, WI 54531-3500 — (615) 480-7410

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67842 (WI)

Record details

NPI number1073600110
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 9, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Dx Mso Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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