Active NPI
Kenneth R Hart, D.O.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Antonio, TX
National Provider Identifier
1003998071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- F8504
- Practice address
- 5101 Medical Drive
San Antonio, TX 78229-4801 - Phone
- (210) 592-5349
- Fax
- (210) 592-5462
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F8504 | TX | |
| Aerospace Medicine Physician | 2083A0100X | F8504 | TX | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | F8504 | TX | Primary |
Addresses
Primary practice location
5101 Medical Drive
San Antonio, TX 78229-4801
Mailing address
2935 Thousand Oaks
Suite 294
San Antonio, TX 78247-3312
Phone (210) 494-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth R Hart DO PA | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1003998071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 THOUSAND OAKS",
"address_2": "SUITE 294",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473312",
"telephone_number": "210-494-1100",
"fax_number": "210-494-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 MEDICAL DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294801",
"telephone_number": "210-592-5349",
"fax_number": "210-592-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F8504",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "F8504",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "F8504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.