Richard Davis Hart, DO

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200301239 Issued in NC

Practice address

423 S South St
Ste.101
Mount Airy, NC 27030-4576

Phone

(336) 786-5144

Fax

(336) 786-5146

NPI assigned

Jun 17, 2005

Last updated

Feb 1, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.hart.1@9865.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surry Regional Health Services , Inc.

  dba Surry Urological Associates

  • Urology Physician
  • Mount Airy, NC
  • NPI 1669460911
  NPD (past)
• Surry Regional Health Services, Inc.

  dba Northern Medical Group Family Medicine

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1053797043
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1528063203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRENTWOOD TRACE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-452-9700",
            "fax_number": "828-452-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S SOUTH ST",
            "address_2": "STE.101",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304576",
            "telephone_number": "336-786-5144",
            "fax_number": "336-786-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "RICHARD",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "200301239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136C8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Lin Hamilton IV
• Heather Smith Hammaker, FNP
• Melissa Dawn Hammond, PHARM. D.
• Marissa Lashay Harris, LCSW-A
• William Kevin Harrison, LMFT, CCSH, DBSM
• Alexandria Grace Hawks
• Brittany Nicole Hawks
• Tammy T Hawks, PTA
• Zackary Terry Hawks, MA
• Ashlyn Falia Hazlett, LCSW-A

• Urology Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.

Verify at the official NPI Registry.