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NPI Code Detail

MEDICARE: MICHAEL HART MD

MEDICARE:   MICHAEL  HART  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician0101-057411VA
22080P0206XPediatric Gastroenterology Physician0101-057411VA

Other Identifiers

General Provider Information

NPI Number : 1477525723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HART MD
Provider Business Mailing Address
First Line : 450 KYLES MILL RD
Second Line :
City : BUCHANAN
State : VA
Zip : 24066-5004
Country : US
Telephone Number : 540-473-1274
Fax Number :
Provider Business Practice Location Address
First Line : 102 HIGHLAND AVE SE
Second Line : SUITE 305
City : ROANOKE
State : VA
Zip : 24013-2256
Country : US
Telephone Number : 540-985-9832
Fax Number : 540-224-4421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 08/16/2011

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