Active NPI
Sarah Lynn Hartman, D.O.
- Pediatrics Physician
- Moline, IL
National Provider Identifier
1568759520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036135186
- Practice address
- 3061 7TH St Ste a
Moline, IL 61265-5903 - Phone
- (309) 249-0069
- Fax
- (309) 524-4654
- NPI assigned
- Jun 28, 2011
- Last updated
- Jul 22, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036135186 | IL | Primary |
Addresses
Primary practice location
3061 7TH St Ste a
Moline, IL 61265-5903
Mailing address
3061 7TH St Ste a
Moline, IL 61265-5903
Phone (309) 249-0069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL | |
| 1598759292 | Medicaid | IA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036135186 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartman Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
Locations
3061 7th St
Ste A
Moline, IL 61265
Phone (309) 249-0069
Interoperability endpoints
- shartman@hartman.pcc-direct.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Moline, IL
- NPI 1326539925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1568759520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 7TH ST STE A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903",
"telephone_number": "309-249-0069",
"fax_number": "309-524-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 7TH ST STE A",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655903",
"telephone_number": "309-249-0069",
"fax_number": "309-524-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "SARAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2021-07-22",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036135186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598759292",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.