Andrea Hartford, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101027793 Issued in MI

Practice address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437

Phone

(248) 845-4237

Fax

(248) 693-3683

NPI assigned

Jul 7, 2016

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Women's Healthcare Associates of Oakland PLLCGroup PAC ID 1254355878, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

• Direct secure messaging: ahartford754119@fhsce.catholichealth.net
• Direct secure messaging: andrea.hartford.1@8250.direct.athenahealth.com

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.

• Women's Healthcare Associates of Oakland PLLC

  • Medical Specialty Clinic/Center
  • Lake Orion, MI
  • NPI 1568653780
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1063864569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 230",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062572",
            "telephone_number": "253-761-2244",
            "fax_number": "253-761-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-845-4237",
            "fax_number": "248-693-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Westgate Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984062572",
            "country_code": "US",
            "telephone_number": "253-761-2244",
            "fax_number": "253-761-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "ANDREA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101027793",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP61292581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211802",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahartford754119@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6002 Westgate Blvd Ste 230",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984062572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hanna Wissam-Semaan Hanna, MD
• Johnlette S Harlin
• Casandra Harper
• Luci Ellavich Harris, DPT
• Deanna Hart
• Bernice Elaine Harvey, TLLP
• Kooper James Hastings
• Elizabeth Ann Hayward, PHARMD
• Heal to Help Medical Devices
• Healing Touch Personal Care, LLC

• Obstetrics & Gynecology Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.