MEDICARE: DR. ERIC THOMAS HARTMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	58565	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	58565	OTHER	TN	LICENSE

General Provider Information

NPI Number	:	1124137468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC THOMAS HARTMAN MD

Provider Business Mailing Address
First Line	:	916 WESTLAND CREEK BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-6726
Country	:	US
Telephone Number	:	303-803-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 FORT SANDERS WEST BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3342
Country	:	US
Telephone Number	:	865-895-3000
Fax Number	:	865-331-4320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/24/2023

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