Keith E Hartman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24938 020 Issued in WI

Practice address

711 N Bridge Street
RM 122
Chippewa Falls, WI 54729-1876

Phone

(715) 726-7788

Fax

(715) 726-4560

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Clinic of Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
  • NPI 1588741292
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174697577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE STREET",
            "address_2": "RM 122",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291876",
            "telephone_number": "715-726-7788",
            "fax_number": "715-726-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE STREET",
            "address_2": "RM 122",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291876",
            "telephone_number": "715-726-7788",
            "fax_number": "715-726-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "24938 020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30360800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Hall, PT, DPT
• Krista Lenore Hall
• Matthew Morris Hansmeier, M.D.
• Lisa L Harbert, SAC
• Sedie Harms
• Thomas Michael Harvey, MD
• Michelle Hazelton, D.C.
• Healthview Eye Care Center - Chippewa, SC
• Deborah Currie Hebert, OTR/L
• Lacie Hedrington

• Psychiatry Physician in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.