Organization Active NPI

Walter F Hartman MD PA

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1497085476
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WALTER F HARTMAN MD PA
Practice address
13725 NW Blvd
Ste 230
Corpus Christi, TX 78410-5127
Phone
(361) 387-1624
Fax
(361) 241-9605
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Mr. Mark Dehn
Title
Administrator
Phone
(361) 288-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13725 NW Blvd
Ste 230
Corpus Christi, TX 78410-5127

Mailing address

13725 NW Blvd
Ste 230
Corpus Christi, TX 78410-5127
Phone (361) 387-1624

Other identifiers 2

IdentifierTypeStateIssuer
8J3744OtherTXBLUE CROSS
127175102MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1497085476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NW BLVD",
            "address_2": "STE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-1624",
            "fax_number": "361-241-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NW BLVD",
            "address_2": "STE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-1624",
            "fax_number": "361-241-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER F HARTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "DEHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-288-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J3744",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127175102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.