Active NPI
Alan Hartsook, M.D.
- Pediatrics Physician
- Avondale, AZ
National Provider Identifier
1922240407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 40823
- Practice address
- 10750 W McDowell Rd
Suite G-700
Avondale, AZ 85392-5960 - Phone
- (623) 873-0321
- Fax
- (623) 849-9623
- NPI assigned
- Mar 31, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40823 | AZ | Primary |
Addresses
Primary practice location
10750 W McDowell Rd
Suite G-700
Avondale, AZ 85392-5960
Mailing address
10750 W McDowell Rd
Suite G-700
Avondale, AZ 85392-5960
Phone (623) 873-0321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446018 | Medicaid | AZ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40823 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
| Banner Estrella Medical Center | Past | Accepting new patients | |
| West Valley Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ahartsook@wvpeds.directbygreenway.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- Pediatrics Physician
- Avondale, AZ
- NPI 1619195971
-
- Pediatrics Physician
- Avondale, AZ
- NPI 1750890075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1922240407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD",
"address_2": "SUITE G-700",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925960",
"telephone_number": "623-873-0321",
"fax_number": "623-849-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD",
"address_2": "SUITE G-700",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925960",
"telephone_number": "623-873-0321",
"fax_number": "623-849-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTSOOK",
"first_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-31",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "40823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446018",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.