Active NPI
Thomas G Hartmann, MD
- Emergency Medicine Physician
- Saint Louis, MO
National Provider Identifier
1851482475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R9107
- Practice address
- 2345 Dougherty Ferry Rd
Emergency Department
Saint Louis, MO 63122-3313 - Phone
- (314) 966-9666
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 | R9107 | MO | Primary |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
Emergency Department
Saint Louis, MO 63122-3313
Mailing address
12467 Matthews Lane
St Louis, MO 63127
Phone (314) 842-3943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930024415 | Other | RAILROAD | |
| 012050155 | Other | CPIN ST ANTHONYS |
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 |
|---|---|---|---|
| R9107 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Emergency Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1851482475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12467 MATTHEWS LANE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-842-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "THOMAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R9107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "930024415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPIN ST ANTHONYS",
"identifier": "012050155",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.