Provider Demographics
NPI:1114051752
Name:HARTMAN MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:HARTMAN MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-663-2345
Mailing Address - Street 1:5520 COLLEGE BLVD
Mailing Address - Street 2:SUITE 470
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1630
Mailing Address - Country:US
Mailing Address - Phone:913-663-2345
Mailing Address - Fax:913-663-4325
Practice Address - Street 1:5520 COLLEGE BLVD
Practice Address - Street 2:SUITE 470
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1630
Practice Address - Country:US
Practice Address - Phone:913-663-2345
Practice Address - Fax:913-663-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0642116174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS08556011OtherBLUE CROSS
KS5510000AMedicare ID - Type UnspecifiedMEDICARE