Active NPI
Alice Marie Hartman, M.D.
- Gynecology Physician
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0104208919
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044981 | Other | IN | SOUTHEASTERN IN HEALTH OR |
| 100407630 | Medicaid | IN | |
| 000000336964 | Other | IN | BLUE CROSS BLUE SHIELD |
| 0104208919 | Medicaid | IN | |
| P00151305 | Other | IN | MEDICARE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0104208919 | IN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indiana Womens Center, LLC | Obstetrics & Gynecology | Current | 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
- ahartman11629@edirect.crh.org
- 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.
-
- Obstetrics & Gynecology Physician
- Seymour, IN
- NPI 1316976533
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1093990541
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1588863534
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1942290143
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
dba Schneck Medical Center
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.