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NPI Code Detail

MEDICARE: RICHARD S HARTMAN MD

MEDICARE: RICHARD S HARTMAN 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
12085R0202XDiagnostic Radiology Physician28095KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000058821OTHERKYANTHEM BC PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3G24321OTHERKYBLUEGRASS FAMILY HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
68759011OTHERKYUNITED HEALTHCARE PIN

General Provider Information

NPI Number : 1922008283
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD S HARTMAN MD
Provider Business Mailing Address
First Line : 3448 US ROUTE 60
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-2906
Country : US
Telephone Number : 304-552-1550
Fax Number : 304-522-1073
Provider Business Practice Location Address
First Line : 989 MEDICAL PARK DR
Second Line :
City : MAYSVILLE
State : KY
Zip : 41056-8750
Country : US
Telephone Number : 606-759-3130
Fax Number : 502-227-5081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 05/16/2024

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