Active NPI
Deborah Hartley, MD
- Emergency Medicine Physician
- New Bedford, MA
National Provider Identifier
1558336388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57416
- Practice address
- 874 Purchase St
New Bedford, MA 02740-6232 - Phone
- (508) 992-6553
- Fax
- (508) 990-7558
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 57416 | MA | Primary |
Addresses
Primary practice location
874 Purchase St
New Bedford, MA 02740-6232
Mailing address
874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0466461-002 | Other | MA | CIGNA PAL |
| 3053890 | Medicaid | MA | |
| 27750 | Other | MA | CHILDREN'SMEDICALSECURITY |
| 436718 | Other | MA | HARVARD PILGRIM |
| 754110 | Other | MA | TUFTS HEALTH PLAN |
| 96108101 | Other | MA | NETWORK HEALTH |
| 0017722 | Other | MA | NHP |
| 26379-3 | Other | MA | BCBSRI |
| B10360401 | Other | MA | CIGNA |
| 000000024027 | Other | MA | BMC HEALTHNET |
| 004705 | Other | MA | SENIOR WHOLE HEALTH |
| 2978827 | Other | MA | AETNA |
| 409720 | Other | MA | BCBSBLUECHIP |
| F21010 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1558336388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 PURCHASE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406232",
"telephone_number": "508-992-6553",
"fax_number": "508-990-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 PURCHASE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406232",
"telephone_number": "508-992-6553",
"fax_number": "508-990-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "DEBORAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "57416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "0466461-002",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3053890",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN'SMEDICALSECURITY",
"identifier": "27750",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "436718",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "754110",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "96108101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0017722",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI",
"identifier": "26379-3",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B10360401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000024027",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "004705",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2978827",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSBLUECHIP",
"identifier": "409720",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "F21010",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.