Richard A. Hartert Jr., M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME42728 Issued in FL

Practice address

3599 University Blvd S
Suite 1105
Jacksonville, FL 32216-4285

Phone

(904) 346-0703

Fax

(904) 346-3605

NPI assigned

Mar 27, 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

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1427018019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16568",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456568",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 1105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164285",
            "telephone_number": "904-346-0703",
            "fax_number": "904-346-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTERT",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME42728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064864700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaycee R Hart, L.M.T
• Leigh B Hart, ARNP
• Melody Ann Hart, PHARMD
• Mishele Lee Hart, LCSW
• Clarissa Harte, MD
• Daniel Hartigan, MD
• Joseph R. Hartigan, M. D.
• Kelsey Hartigan
• Mary S Hartigan, DMD
• Amy Melinda Hartley, PH.D.

• Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.