Organization Active NPI

Carolyn M. Hartman MD PC

  • Psychiatry Physician
  • Eugene, OR
National Provider Identifier
1235439738
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD20511 Issued in OR
Legal business name
CAROLYN M. HARTMAN MD PC
Practice address
767 Willamette St
Suite 307-a
Eugene, OR 97401-2952
Phone
(541) 653-9168
NPI assigned
Oct 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Dr. Carolyn M. Hartman, MDNPI 1194799718
Title
President
Phone
(541) 653-9168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD20511 OR Primary

Addresses

Primary practice location

767 Willamette St
Suite 307-a
Eugene, OR 97401-2952

Mailing address

767 Willamette St
Suite 307-a
Eugene, OR 97401-2952
Phone (541) 653-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216001071 OR Part B Supplier - Clinic/Group Practice 1456549450 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

767 Willamette St
Ste 307A
Eugene, OR 97401
Phone (541) 653-9168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1235439738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 WILLAMETTE ST",
            "address_2": "SUITE 307-A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012952",
            "telephone_number": "541-653-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WILLAMETTE ST",
            "address_2": "SUITE 307-A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012952",
            "telephone_number": "541-653-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN M. HARTMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-653-9168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.