Individual provider Active NPI

John A Hartman, DO

  • Internal Medicine Physician
  • Farmington, MO
National Provider Identifier
1225032832
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5E40 Issued in MO
Practice address
1103 Weber Rd
Ste 101
Farmington, MO 63640-3326
Phone
(573) 756-6438
Fax
(573) 756-6439
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5E40 MO Primary

Addresses

Primary practice location

1103 Weber Rd
Ste 101
Farmington, MO 63640-3326

Mailing address

P.O. Box 857
Farmington, MO 63640-3326
Phone (573) 756-6438

Other identifiers 1

IdentifierTypeStateIssuer
242382208MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090729000178 MO Practitioner - Internal Medicine 9032262787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Health Way Dr
Potosi, MO 63664-1420
Phone 5734385451355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R5E40MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Medicine Specialists, Inc. Internal Medicine CurrentSince Jul 29, 2009 Accepting new patients
Washington County Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Physician Groups LC Internal Medicine PastSince Jan 1, 1994 Accepting new patients
Farmington Physician Services LLC Past Accepting new patients
Farmington Clinic Company, LLC Past Accepting new patients
Washington County Memorial Hospital Past Accepting new patients
Mineral Area Osteopathic Hospital Inc Internal Medicine Past Accepting new patients

Locations

1103 Weber Rd
Ste 101
Farmington, MO 63640
Phone (573) 756-6438

1212 Weber Rd
Farmington, MO 63640
Phone (573) 756-3662

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

200 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

Interoperability endpoints

  • Direct secure messaging: john.hartman.p1@direct.wcmh-clinics.nextgenshare.com

Organizations & group practices 8

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 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225032832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 857",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403326",
            "telephone_number": "573-756-6438",
            "fax_number": "573-756-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403326",
            "telephone_number": "573-756-6438",
            "fax_number": "573-756-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5E40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242382208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.