Hart Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001655 Issued in WA

Legal business name

HART FAMILY MEDICINE PLLC

Practice address

107 E Holland Ave
Spokane, WA 99218-1209

Phone

(509) 466-3960

Fax

(509) 466-9566

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Brandi Wallen

Title

Billing/Support

Phone

(509) 466-3960

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Ashley Hart, D.O.

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1013919927
  Medicare reassignment NPD

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1508029844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181209",
            "telephone_number": "509-466-3960",
            "fax_number": "509-466-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E HOLLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181209",
            "telephone_number": "509-466-3960",
            "fax_number": "509-466-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BILLING/SUPPORT",
        "authorized_official_telephone_number": "509-466-3960"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124858",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0229080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis James Harrison, AAS, RN
• Stephanie Harrod, PT, DPT
• Jessie Lorell Harse, MSW
• Trista S Harshaw, CPST
• Michael Harshberger
• Kim Colleen Hart-Krigbaum, AA, BA, MSW
• Allie Hart
• Amy Hart
• Elaine Hart, LPC
• Heather Michelle Hart, MSW, LMHC

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.