Active NPI
Lawrence P. Hartman, M.D.
- Neurological Surgery Physician
- Kingsport, TN
National Provider Identifier
1558339101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 36815
- Practice address
- 135 W Ravine Rd
Suite 4a
Kingsport, TN 37660-3847 - Phone
- (423) 392-9300
- Fax
- (423) 392-9365
- NPI assigned
- Mar 9, 2006
- Last updated
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 36815 | TN | |
| Neurological Surgery Physician | 207T00000X | 36815 | TN | Primary |
Addresses
Primary practice location
135 W Ravine Rd
Suite 4a
Kingsport, TN 37660-3847
Mailing address
135 W Ravine Rd
Suite 4a
Kingsport, TN 37660-3847
Phone (423) 392-9300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3877574 | Medicaid | TN | |
| P00221383 | Other | TN | RR MEDICARE |
| 5803430001 | Other | TN | DME NUMBER |
| 9454636 | Other | TN | CIGNA |
| 4205736 | Other | TN | AETNA |
| 4103830 | Other | TN | BCBS TN |
| 64059660 | Medicaid | KY | |
| 177324 | Other | VA | ANTHEM BCBS VA INDV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36815 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Neurosurgery, P.C. | Past | Accepting new patients | |
| First Choice Neurosurgery | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| First Choice Neurosurgery, PC | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Kingsport, TN
- NPI 1598817801
Durable Medical Equipment & Medical Supplies
-
- Medical Specialty Clinic/Center
- Greeneville, TN
- NPI 1184838245
Durable Medical Equipment & Medical Supplies
-
- Specialist
- Kingsport, TN
- NPI 1104916238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1558339101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 4A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-392-9300",
"fax_number": "423-392-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 4A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-392-9300",
"fax_number": "423-392-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "LAWRENCE",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "36815",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "36815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3877574",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00221383",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME NUMBER",
"identifier": "5803430001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9454636",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4205736",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4103830",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64059660",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS VA INDV",
"identifier": "177324",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.