Randy G Hartman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

RH001180 Issued in MI

Practice address

620 Woodmere Ave
Traverse City, MI 49686-3397

Phone

(231) 946-8822

NPI assigned

Jun 8, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1467492363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 S LEE POINT RD",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829526",
            "telephone_number": "231-271-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WOODMERE AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863397",
            "telephone_number": "231-946-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "RANDY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RH001180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879030",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy.hartman@bp.elinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "620 Woodmere Ave",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496863397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harry R Borovik MD PC
• Alexis Olivia Ann Hart
• Julie Anna Hartl, MSN, NP-C
• Meranda Sue Hartle
• Johdinann Marsha Olive Hartley Waclawski, PAS
• Richard L Hartwell, DO
• James A Harvey, MSPT
• Mary L Harwood, LMSW
• Kylee K Hasbany, BCBA, LBA
• Amelia Hasenohrl, MA, LPC, CHT.

• Podiatrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.