Individual provider Active NPI

Terrance Larry Hartmann, PA-C

  • Physician Assistant
  • Mount Airy, MD
National Provider Identifier
1982942850
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06362 Issued in MD
Practice address
504 E. Ridgeville Blvd
Suite 110
Mount Airy, MD 21771
Phone
(301) 829-5906
Fax
(301) 829-5909
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006710 GA
Medical Physician Assistant 363AM0700X C0006362 MD
Medical Physician Assistant 363AM0700X 006710 GA
Physician Assistant 363A00000X C06362 MD Primary

Addresses

Primary practice location

504 E. Ridgeville Blvd
Suite 110
Mount Airy, MD 21771

Mailing address

504 E. Ridgeville Blvd
Suite 110
Mount Airy, MD 21771
Phone (301) 829-5906

Other practice location 1

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Other practice location 2

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170403002540 MD Practitioner - Physician Assistant 3577706258 Reassigns benefits to 5 organizations
I20191022002855 DC Practitioner - Physician Assistant 3577706258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-9044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006362MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 6, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 6, 2019 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Carroll Health Group, LLC CurrentSince Mar 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

11116 Medical Campus Rd
Ste 2810
Hagerstown, MD 21742
Phone (240) 313-9580

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

504 E Ridgeville Blvd
Ste 110
Mount Airy, MD 21771
Phone (301) 829-5906

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: terrance.hartmann@aaphc.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1982942850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E. RIDGEVILLE BLVD",
            "address_2": "SUITE 110",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "21771",
            "telephone_number": "301-829-5906",
            "fax_number": "301-829-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E. RIDGEVILLE BLVD",
            "address_2": "SUITE 110",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "21771",
            "telephone_number": "301-829-5906",
            "fax_number": "301-829-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "410-787-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11116 Medical Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-790-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "TERRANCE",
        "middle_name": "LARRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006710",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006362",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006710",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.