Organization Active NPI

Hartberg Medical Clinic P.a.

  • Family Medicine Physician
  • Windom, MN
National Provider Identifier
1912929829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1292 Issued in MN
Legal business name
HARTBERG MEDICAL CLINIC P.A.
Practice address
2170 Hospital Dr
Windom, MN 56101-1287
Phone
(507) 831-1422
Fax
(507) 831-4783
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Paul Hartberg, MDNPI 1972501120
Title
Owner
Phone
(507) 831-1422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1292 MN Primary

Addresses

Primary practice location

2170 Hospital Dr
Windom, MN 56101-1287

Mailing address

PO Box 249
Windom, MN 56101-0249
Phone (507) 831-1422

National Provider Directory

National Provider Directory

Locations

2170 Hospital Dr
Windom, MN 56101
Phone (507) 831-1422

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912929829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010249",
            "telephone_number": "507-831-1422",
            "fax_number": "507-831-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 HOSPITAL DR",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011287",
            "telephone_number": "507-831-1422",
            "fax_number": "507-831-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTBERG MEDICAL CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-831-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windom, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.