Yasir Hatahet MD
Pulmonary Disease Physician in Fond Du Lac, WI(View on Map)
Full Name
Yasir Hatahet MD
NPI Number
1407837537
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/07/2005
Specialties
(Taxonomies)Code
207RP1001X
207RC0200X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
License Number
46206
Contact
Information
Purpose
Mailing
Location
Address
420 E DIVISION ST
420 E DIVISION ST
City
Fond Du Lac
Fond Du Lac
State
WI
WI
Postal Code
54935-4560
54935-4560
Country
US
US
Telephone Number
(920) 926-8340
(920) 926-8485
Identifiers
Identifier
34447900
367884049005
Identifier State
WV
WI
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
Health Information Exchange
Endpoint Type
DIRECT
FHIR
Endpoint
yhatahet332574@direct-ehr-ssmhc.com
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Use
Direct
Other
Content Type
Other
Other Description:yhatahet332574@direct-ehr-ssmhc.com
Other
Other Description:CCD
Affiliation
N
N
Endpoint Location
420 E Division StFond Du Lac, WI549354560US
420 E Division StFond Du Lac, WI549354560US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/09/2020