=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578609236
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID W. HART DNP, CRNA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2007
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 RAVEN HILL DRIVE
-----------------------------------------------------
City | ATCHISON
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-367-2131
-----------------------------------------------------
Fax | 913-674-2023
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 800 RAVENHILL DR
-----------------------------------------------------
City | ATCHISON
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66002-9204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-367-2131
-----------------------------------------------------
Fax | 913-674-2023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 43-55635
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 13757758081
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------