Healthcare Provider Details

I. General information

NPI: 1356964944
Provider Name (Legal Business Name): THOMAS TRYON HART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 ROUTE 611 STE 300
BARTONSVILLE PA
18321-7800
US

IV. Provider business mailing address

3565 ROUTE 611 STE 300
BARTONSVILLE PA
18321-7800
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2244
  • Fax: 833-215-7527
Mailing address:
  • Phone: 484-526-2244
  • Fax: 833-214-7527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD494919
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: