Marcy A. Hartle, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME161877 Issued in FL

Practice address

865 Beaver Dr
Du Bois, PA 15801

Phone

(814) 371-1510

Fax

(814) 371-2922

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657

  Multi-Specialty

  NPD (past)
• River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Williamsport, PA
  • NPI 1184998361
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1356319149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5270 Babcock St NE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054616",
            "country_code": "US",
            "telephone_number": "321-722-5959",
            "fax_number": "321-722-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5270 Babcock St NE Ste 1",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054616",
            "country_code": "US",
            "telephone_number": "321-722-5959",
            "fax_number": "321-722-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 W Mahoning St",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157671909",
            "country_code": "US",
            "telephone_number": "814-938-2602",
            "fax_number": "814-938-2872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "MARCY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD453017",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "161877",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME161877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016848817",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101066300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manpreet S Hans, MD
• Dominick Hanyok, DO
• Dulcie Ann Hanzely, PA-C
• Happy Seniors LLC
• Carrie Roxann Harris, M.S.
• Erik Anton Hasenboehler, M.D.
• Mohamed Ibrahim Hassan, MD
• Healthy Living Family Medicine PLLC
• Heart and Soul Counseling and Consulting Services
• Christopher Davis Heasley, PHARMD

• Pediatrics Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.