MEDICARE: JAMES M HARTMAN M.D.

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
1	207Y00000X	Otolaryngology Physician	106906	MO

General Provider Information

NPI Number	:	1598756280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M HARTMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 14369
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63178-4369
Country	:	US
Telephone Number	:	314-822-5403
Fax Number	:	314-822-5403

Provider Business Practice Location Address
First Line	:	1010 OLD DES PERES RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1865
Country	:	US
Telephone Number	:	314-822-5403
Fax Number	:	314-822-5403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	03/18/2025

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