Active NPI
Joseph Robert Hartman, M.D.
- Radiation Oncology Physician
- Lacey, WA
National Provider Identifier
1417934985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00026465
- Practice address
- 4525 3Rd Ave SE
Suite 100
Lacey, WA 98503-1010 - Phone
- (360) 412-8960
- Fax
- (360) 412-8970
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00026465 | WA | Primary |
Addresses
Primary practice location
4525 3Rd Ave SE
Suite 100
Lacey, WA 98503-1010
Mailing address
4525 3Rd Ave SE
Suite 100
Lacey, WA 98503-1010
Phone (360) 412-8960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8129330 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1417934985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE",
"address_2": "SUITE 100",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8960",
"fax_number": "360-412-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE",
"address_2": "SUITE 100",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-412-8960",
"fax_number": "360-412-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00026465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8129330",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.