Healthcare Provider Details

I. General information

NPI: 1447346879
Provider Name (Legal Business Name): JAMES ANDREW HARTWELL SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

2068 WESTCHESTER DR
SILVER SPRING MD
20902-3557
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0196
  • Fax: 301-319-4712
Mailing address:
  • Phone: 301-649-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number169257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: