Individual provider Active NPI

Melissa Hartman, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1124259577
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10736 Issued in FL
Practice address
3701 Avalon Park West Blvd
Suite 205
Orlando, FL 32828-7303
Phone
(407) 306-0982
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10736 FL Primary

Addresses

Primary practice location

3701 Avalon Park West Blvd
Suite 205
Orlando, FL 32828-7303

Mailing address

3701 Avalon Park West Blvd
Suite 205
Orlando, FL 32828-7303
Phone (407) 306-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160421000963 FL Order and Referring Only - Family PracticePractitioner - Family Practice 3870758709

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1124259577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-306-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-306-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.