Individual provider Active NPI

John Hartman, DO

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1104238666
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2869 Issued in TX
Practice address
7121 S Padre Island Dr Ste 300
Corpus Christi, TX 78412-4940
Phone
(361) 696-6200
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Medicine Physician 207Q00000X R2869 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr Ste 300
Corpus Christi, TX 78412-4940

Mailing address

7121 S Padre Island Dr Ste 300
Corpus Christi, TX 78412-4940
Phone (361) 696-6200

Other practice location 1

2606 Hospital Blvd
Corpus Christi, TX 78405-1833
Phone (361) 902-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170621000532 TX Practitioner - Family Practice 3971729898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Third Coast Health, PLLCGroup PAC ID 4880949650, 2 clinicians
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

3560 S Alameda St
Suite 4
Corpus Christi, TX 78411-1736
Phone (361) 900-9969

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Hospital & facility affiliations

  • Aadi Home Health Home health agency, Corpus Christi, TX, CCN 679617
  • Atex Home Healthcare Home health agency, Corpus Christi, TX, CCN 678464
  • Mirador Nursing home, Corpus Christi, TX, CCN 676303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R2869TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Health, PLLC Family Medicine CurrentSince Jan 7, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2021 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince May 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Thomas-Spann Clinic, P.a. Past Accepting new patients

Locations

3560 S Alameda St
Ste 4
Corpus Christi, TX 78411
Phone (361) 900-9969

3560 S Alameda St
Ste 3
Corpus Christi, TX 78411
Phone (361) 854-4828

7121 Spid Dr
Ste 101
Corpus Christi, TX 78412
Phone (361) 696-6040

7121 Spid Dr
Ste 300
Corpus Christi, TX 78412
Phone (361) 696-6200

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jhartman269733@christushealth.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104238666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-696-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-696-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Hospital Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784051833",
            "country_code": "US",
            "telephone_number": "361-902-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.