Provider Demographics
NPI:1609138205
Name:HART, NATHAN COURTNEY (PA-C)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:COURTNEY
Last Name:HART
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:M2 ANNEX: HOSPITAL MEDICINE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105
Mailing Address - Country:US
Mailing Address - Phone:216-445-1472
Mailing Address - Fax:216-444-8530
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-312-2055
Practice Address - Fax:216-444-8530
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant