Organization Active NPI

Michael J Hart MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Windsor Heights, IA
National Provider Identifier
1548213465
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
MICHAEL J HART MD PC
Practice address
1000 73Rd St
Suite 21
Windsor Heights, IA 50311-1321
Phone
(515) 223-7177
Fax
(515) 223-7321
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Michael J Hart, M.D.
Title
President/Ceo
Phone
(515) 237-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X IA Primary

Addresses

Primary practice location

1000 73Rd St
Suite 21
Windsor Heights, IA 50311-1321

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Other identifiers 1

IdentifierTypeStateIssuer
0438622MedicaidIA

National Provider Directory

National Provider Directory

Locations

1000 73rd St
Ste 21
West Des Moines, IA 50265
Phone (515) 223-7177

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1548213465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 73RD ST",
            "address_2": "SUITE 21",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503111321",
            "telephone_number": "515-223-7177",
            "fax_number": "515-223-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J HART MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-237-3974",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438622",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.