Individual provider Active NPI

Alice Marie Hartman, M.D.

  • Gynecology Physician
  • Seymour, IN
National Provider Identifier
1912932625
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0104208919 Issued in IN
Practice address
1407 Corporate Way
Suite 101
Seymour, IN 47274
Phone
(812) 523-3112
Fax
(812) 523-2069
NPI assigned
Jul 11, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01042089A IN
Gynecology Physician 207VG0400X 0104208919 IN Primary

Addresses

Primary practice location

1407 Corporate Way
Suite 101
Seymour, IN 47274

Mailing address

1407 Corporate Way
Suite 101
Seymour, IN 47274
Phone (812) 523-3112

Other identifiers 5

IdentifierTypeStateIssuer
044981OtherINSOUTHEASTERN IN HEALTH OR
100407630MedicaidIN
000000336964OtherINBLUE CROSS BLUE SHIELD
0104208919MedicaidIN
P00151305OtherINMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040818000863 IN Practitioner - Obstetrics/Gynecology 9436122348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1407 Corporate Way
Suite 101
Seymour, IN 47274-3489
Phone (812) 523-3112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0104208919INMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Womens Center, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2004 Accepting new patients
Anesthesia Care of Bloomington PC Past Accepting new patients
Major Hospital Past Accepting new patients
Monroe Physicians Group Past Accepting new patients
Obstetrics & Gynecology of Indiana, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1407 Corporate Way
Ste 101
Seymour, IN 47274
Phone (812) 523-3112

415 S Walnut St
Ste 305
Seymour, IN 47274
Phone (812) 523-3112

631 E Tipton St
Seymour, IN 47274
Phone (812) 522-4444

Interoperability endpoints

  • Direct secure messaging: ahartman11629@edirect.crh.org
  • Direct secure messaging: alice.hartman.1@31834.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1912932625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 CORPORATE WAY",
            "address_2": "SUITE 101",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-523-3112",
            "fax_number": "812-523-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 CORPORATE WAY",
            "address_2": "SUITE 101",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-523-3112",
            "fax_number": "812-523-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01042089A",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "0104208919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHEASTERN IN HEALTH OR",
            "identifier": "044981",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100407630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000336964",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104208919",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00151305",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.