Active NPI
Tyler K Hartman, M.D.
- Neonatal-Perinatal Medicine Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 15794
- Practice address
- 1 Medical Center Dr
DHMC - Dept of Neonatology
Lebanon, NH 03756-1000 - Phone
- (603) 653-6070
- Fax
- (603) 653-3585
- NPI assigned
- Sep 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 48909 | MN | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 15794 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
DHMC - Dept of Neonatology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC - Dept of Neonatology
Lebanon, NH 03756-1000
Phone (603) 653-6070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876657100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48909 | MN | MD | Pediatrics Physician |
| 15794 | NH | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Health Services | Pediatrics | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Pediatrics | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Pediatrics | Current | Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229
Interoperability endpoints
- thartman98993@direct.dartmouth-hitchcock.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1457451643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - DEPT OF NEONATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - DEPT OF NEONATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-6070",
"fax_number": "603-653-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "TYLER",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "48909",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NH",
"license": "15794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876657100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.