Samuel C Hartman MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0487 Issued in TX

Legal business name

SAMUEL C HARTMAN MD PA

Practice address

13725 NW Blvd
Ste 230
Corpus Christi, TX 78410-5127

Phone

(361) 387-3616

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel C Hartman, MDNPI 1134107782

Title

President

Phone

(361) 387-3616

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Christian Hartman, MD

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1134107782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1619129673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NW BLVD",
            "address_2": "STE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NW BLVD",
            "address_2": "STE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C HARTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-387-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122022003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0027CQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawndrika Tenee Sampson
• Ravi Shankar Samraj, MD
• Sams East Inc
• Steven Jeffrey Samson, PA-C
• Courtney Samu
• Samuel Duro Oloyo, M.D.,P.a.
• Samuel Duro Oloyo, M.D.,P.a.
• Samuel L Gordon Professional Limited Liability Company
• San Antonio Orthotics Corporation
• Kishia Eileen San Gabriel

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.