Organization Active NPI

Hackett Medical LTD

  • Family Medicine Physician
  • Mentor, OH
National Provider Identifier
1114071206
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35043939 Issued in OH
Legal business name
HACKETT MEDICAL LTD
Practice address
8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4217
Phone
(440) 205-1529
Fax
(440) 205-0840
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Martha Nofziger Hackett, M.D.
Title
Owner Hackett Medical LTD.
Phone
(440) 205-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35043939 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4217

Mailing address

8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4217
Phone (440) 205-1529

Other identifiers 1

IdentifierTypeStateIssuer
2178905MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114071206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD",
            "address_2": "SUITE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604217",
            "telephone_number": "440-205-1529",
            "fax_number": "440-205-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD",
            "address_2": "SUITE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604217",
            "telephone_number": "440-205-1529",
            "fax_number": "440-205-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKETT MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "NOFZIGER",
        "authorized_official_title_or_position": "OWNER HACKETT MEDICAL LTD.",
        "authorized_official_telephone_number": "440-205-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35043939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178905",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.