DR. SCOTT A HATHAWAY D.O.
NPI 1669563763
Emergency Medicine - Emergency Medical Services in Shawano, WI

Active since September 27, 2006
309 N BARTLETT ST, SHAWANO, WI 54166(715) 526-2111(715) 526-9174 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott A Hathaway D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT A HATHAWAY D.O. (NPI 1669563763) is an individual emergency medical services provider in Shawano, Wisconsin, licensed in Wisconsin (36307) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1669563763
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. SCOTT A HATHAWAYCredential: D.O.
Location Address309 N BARTLETT STShawano, WI 54166-2127
Mailing Address309 N Bartlett StShawano, WI 54166-2127 · (715) 526-2111 · Fax (715) 526-9174
Fax(715) 526-9174
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 2, 2012
NPI 1669563763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in WI · 36307
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

309 N BARTLETT ST, Shawano, WI 54166

Other Identifiers 3

Medicare ID-Type Unspecified007400454WI
Medicare UPINE43208WI
Medicaid30064500WI

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
309 N BARTLETT ST
SHAWANO, WI 54166
Specialist/Technologist (Athletic Trainer)
309 N BARTLETT ST
SHAWANO, WI 54166
Dermatology
309 N BARTLETT ST
SHAWANO, WI 54166
Emergency Medicine (Emergency Medical Services)
309 N BARTLETT ST
SHAWANO, WI 54166
Emergency Medicine (Emergency Medical Services)
309 N BARTLETT ST
SHAWANO, WI 54166
Physician Assistant
309 N BARTLETT ST
SHAWANO, WI 54166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Hathaway's NPI number?

The NPI number for Scott Hathaway is 1669563763. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Scott Hathaway located?

Scott Hathaway practices at 309 N Bartlett St, Shawano, WI 54166. The listed phone number is (715) 526-2111.

What is Scott Hathaway's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Scott Hathaway was last updated on November 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.