Individual provider Active NPI

Jane Hartline, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1548390768
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22819 Issued in AZ
Practice address
2260 N Rosemont Blvd Ste 107
Tucson, AZ 85712-2137
Phone
(520) 318-1033
NPI assigned
Mar 6, 2007
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22819 AZ Primary

Addresses

Primary practice location

2260 N Rosemont Blvd Ste 107
Tucson, AZ 85712-2137

Mailing address

2260 N Rosemont Blvd Ste 107
Tucson, AZ 85712-2137
Phone (520) 318-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000595 AZ Practitioner - Family Practice 0941259733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22819AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Arizona Community Physician PC CurrentSince Aug 1, 2013 Accepting new patients
Northwest Allied Physicians LLC PastSince Jun 1, 2006 Accepting new patients
Banner-University Medical Group Family Medicine Past Accepting new patients
Northwest Allied Physicians, LLC Past Accepting new patients

Locations

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

2260 N Rosemont Blvd
Ste 107
Tucson, AZ 85712
Phone (520) 318-1033

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

6130 N La Cholla Blvd
Ste 111
Tucson, AZ 85741
Phone (520) 469-8168

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1548390768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 N ROSEMONT BLVD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122137",
            "telephone_number": "520-318-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 N ROSEMONT BLVD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122137",
            "telephone_number": "520-318-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.