Active NPI
Walter F Hartman MD PA
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1497085476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J3744 | Other | TX | BLUE CROSS |
| 127175102 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.