Neal Russell Hartman

M.D. | Pediatric Emergency Medicine | Male

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Complete Profile:

Neal Russell Hartman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Neal Russell Hartman
Credential :	M.D.
Gender :	Male

Business Address:

Neal Russell Hartman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1919 E Thomas Rd Phoenix, AZ, 85016-7710 United States
Phone Number :	602-933-1900
Fax Number :	602-933-1918

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1508125295
NPI Entity Type :	Individual
First Enrolment Date :	15 May, 2012
Last Updated On :	12 Jan, 2022

Medicare Participation:

Neal Russell Hartman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3375847783
Medicare Enrollment ID :	I20200513000767
Primary Specialty :	Emergency Medicine
Medical School :	Saint Louis University School Of Medicine
Graduation Year :	2012
Accepts Medicare?	Yes. Neal Russell Hartman accepts medicare insurance.

Group Practice Association:

Neal Russell Hartman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Neal Russell Hartman is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Phoenix Children's Hospital	0446278584	278	1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Neal Russell Hartman are as mentioned. Primary taxonomy code for Neal Russell Hartman, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207PP0204X	Emergency Medicine Pediatric Emergency Medicine	No	2015030821	MO
208000000X	Pediatrics	No	2015030821	MO
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	60758	AZ

Legacy Identifiers:

Other legacy medical identifiers of Neal Russell Hartman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
006541	MEDICAID	AZ

Other Practice Locations:

Practice Address	City, State	Phone Number
1465 S GRAND BLVD, ST. LOUIS, MO, 63104-1003 United States	ST. LOUIS, MO	314-577-5360

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3200 E Camelback Rd Ste 250 Phoenix, AZ, 85018-2327 United States
Phone Number :	602-933-1814
Fax Number :	602-933-8972

Business Location:

Patients can refer following map for directions to Neal Russell Hartman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.