Joseph Edward Hartig, MD
Individual provider Active NPI Internal Medicine Physician · Crittenden, KY
NPI 1174583447 · NPPES record last updated Sep 10, 2018
Key facts
- NPI
- 1174583447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 32471 (KY)
- Practice address
- 520 Violet Rd
Crittenden, KY 41030-7480 - Phone
- (859) 428-1610
- Fax
- (859) 428-3923
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
- St Elizabeth Home Care
- St Elizabeth Edgewood
- St Elizabeth Grant
- St Elizabeth Florence
- St Elizabeth Ft Thomas
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040921000843 | KY | Practitioner - Internal Medicine |
3274501812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32471 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Internal Medicine | Past | Accepting new patients |
Locations
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
520 Violet Rd
Crittenden, KY 41030
Phone (606) 428-1114
19 S Main St
Dry Ridge, KY 41035
Phone (606) 824-7111
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- jhartig2720@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32471 | KY | |
| Internal Medicine Physician | 207R00000X | 32471 | KY | Yes |
Addresses
Primary practice location
520 Violet Rd
Crittenden, KY 41030-7480
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 428-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64324718 | Medicaid | KY | |
| 2151246 | Other | OH | MEDICAID |
Other providers in Crittenden, KY
- Foot Specialists of Greater Cincinnati
- Grant County Drugs-North
- Grant Pharmacist Group Inc
- Grant Pharmacist Group Inc
- Grant Pharmacists Group
- Healing Roots Therapy Services
- Healthpoint Family Care, Inc.
- Christine Hearth
- Heather Helmbrecht-Vines
- Jordan Thomas Hoffer
All providers in Crittenden, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.