Healthcare Provider Details

I. General information

NPI: 1841992765
Provider Name (Legal Business Name): DAVID HARTMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 HOSPITAL DR FL 2
ATHENS OH
45701-2471
US

IV. Provider business mailing address

26 HOSPITAL DR FL 1
ATHENS OH
45701-2471
US

V. Phone/Fax

Practice location:
  • Phone: 740-249-4122
  • Fax: 740-249-4126
Mailing address:
  • Phone: 220-252-0725
  • Fax: 740-331-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number58.033650
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: