Individual provider Active NPI

James R Hartline, M.D.

  • Emergency Medicine Physician
National Provider Identifier
1831463496
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.60922863 Issued in WA
Practice address
CMR 402
Apo, AE 09180
Phone
(314) 590-6322
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.60922863 WA Primary

Addresses

Primary practice location

CMR 402
Apo, AE 09180

Mailing address

CMR 402 Box 136
Apo, AE 09180-0002

Other practice location 1

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190806002396 WA Practitioner - Emergency Medicine 7517294085 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.60922863WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 CurrentSince Mar 17, 2021 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Aug 27, 2019 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine Current Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Sep 25, 2023 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Jan 31, 2026 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Aug 27, 2019 Accepting new patients
Pacific County Hospital District 2 CurrentSince Mar 17, 2021 Accepting new patients

Locations

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1831463496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 402 BOX 136",
            "city": "APO",
            "state": "AE",
            "postal_code": "091800002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "CMR 402",
            "city": "APO",
            "state": "AE",
            "postal_code": "09180",
            "telephone_number": "314-590-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD.60922863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.