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

John R. Hatzenbuehler, MD

Individual provider Family Medicine Physician · NPI 1699844365

John R. Hatzenbuehler, MD is a Family Practice in South Portland, Maine. Graduated from University of Washington School of Medicine in 2004, 22 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
22
Trained at
University of Washington School of Medicine
Licensed in
ME
In the registry since
2006
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

100 Foden Rd E Ste 200
South Portland, ME 04106
Phone: (207) 523-8500
Fax: (207) 523-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD17466 (ME)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD17466 (ME)

Record details

NPI number1699844365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESOctober 29, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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