Jordan Hatch, MD
Jordan Hatch, MD is a Family Practice in South Bend, Indiana. Qualified in 2021, 5 years ago. Practices with Saint Joseph Regional Medical Center-South Bend Campus Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 5
- Licensed in
- IN
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2930 W Cleveland Road ExtSouth Bend, IN 46628-6090
Phone: (574) 335-8450
Fax: (574) 335-0780
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01092640A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1538746284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2021 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
| Mailing address | 5215 Holy Cross Pkwy, Provider Services-Enrollment, Mishawaka, IN 46545-1469 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Saint Joseph Regional Medical Center-South Bend Campus Inc — 67 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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