Tammy Hart, MD, PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

100333 Issued in MO

Legal business name

TAMMY HART, MD, PC

Practice address

400 N Fullerton St
Princeton, MO 64673-1418

Phone

(660) 748-4040

Fax

(660) 748-4042

NPI assigned

May 8, 2007

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy K Hart, M.D.NPI 1265499859

Title

President

Phone

(660) 748-4040

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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.

• Tammy K. Hart, M.D.

  • Family Medicine Physician
  • Princeton, MO
  • NPI 1265499859
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1952514549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N FULLERTON ST",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646731418",
            "telephone_number": "660-748-4040",
            "fax_number": "660-748-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FULLERTON ST",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646731418",
            "telephone_number": "660-748-4040",
            "fax_number": "660-748-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY HART, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-748-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "100333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593909203",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22235016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM NETWORK",
            "identifier": "240969",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Physical Therapy and Sports Medicine LLC
• Amy Rhoades, PHARMD
• Saint Luke's Hospital of Trenton (Saint Luke's Mercer County Clinic)
• Philip Stephen Staehling, P.D.
• Kelli Ann Stark, COTA/L
• David Bruce Treadwell, D.C

• Rural Health Clinic/Center in Princeton, MO
• Providers in Princeton, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.