Provider Demographics
NPI:1811990922
Name:HARTMANN, DAVID B (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:HARTMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1938
Mailing Address - Country:US
Mailing Address - Phone:412-968-0968
Mailing Address - Fax:412-968-0969
Practice Address - Street 1:260 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1938
Practice Address - Country:US
Practice Address - Phone:412-968-0968
Practice Address - Fax:412-968-0969
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016012E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0584900001Medicare NSC
PA01396951Medicaid
PA01706357Medicaid
PAHA173831Medicare ID - Type UnspecifiedINDIVIDUAL
PAPI508429Medicare ID - Type UnspecifiedGROUP
PAC32783Medicare UPIN
PA200008972Medicare ID - Type UnspecifiedRAILROAD
PA0584900003Medicare NSC