Healthcare Provider Details

I. General information

NPI: 1164043246
Provider Name (Legal Business Name): EMILY SARA HARTMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-0564
US

IV. Provider business mailing address

231 ALBERT SABIN WAY ML 0564
CINCINNATI OH
45267-0564
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-0478
  • Fax:
Mailing address:
  • Phone: 513-558-0478
  • Fax: 513-558-4858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTP743
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: