DR. RICHARD HARTIN JR. (NPI# 1023070687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023070687 |
| Entity Type | Individual |
| Full Name | DR. RICHARD HARTIN JR. |
| Credential | MD |
| Practice Address |
One St. Mark's Place St. Mark's Hospital La Grange TX 78945-1250 |
| Mailing Address |
2777 Owl Creek Rd La Grange TX 78945-5449 |
| Practice Telephone | 9792422333 |
| Practice Fax Number | 9792425171 |
| Mailing Telephone | 5125698993 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G6524 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G6524 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134102612 | 05 | |
| TX | RAILROAD MEDICARE | P00375536 | 01 |
| Street Address |
ONE ST. MARK'S PLACE ST. MARK'S HOSPITAL |
| City | LA GRANGE |
| State | TX |
| Zip Code | 78945-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362630 | St. Mark's Medical Center | General Acute Care Hospital | One St. Mark's Place, La Grange, TX 78945 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406739 | Lisa Faye Cummings | Pharmacist | 1915 W. St. Hwy 71 Business, La Grange, TX 78945 | 2020-10-30 |
| 1326515750 | Teresa Kay Carmack | Occupational Therapist | Care Inn of La Grange, 457 N. Main Street, La Grange, TX 78945 | 2018-10-24 |
| 1417496415 | Fresh Smiles Pllc | Dentist | 2001 W. St Hwy 71, Suite 20, La Grange, TX 78945 | 2017-02-23 |
| 1871031443 | Debra Kay Hall | Physical Therapist | 530 W. Lafayette St, Lagrange, TX 78945 | 2017-02-03 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1770639379 | Sage Professional Consulting Corporation | Psychologist | Two Saint Mark's Pl Ste 147, La Grange, TX 78945 | 2007-01-26 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| Find all providers in zip 78945 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347313 | Samyuktha Vani Kemparajurs | Family Medicine | 501 Parker Pl Unit 200, La Grange, KY 40031-2229 | 2017-03-17 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1497199368 | Oldham County Ministerial Association | Family Medicine | 1025 Sanibel Way, Suite E, La Grange, KY 40031-9156 | 2013-04-23 |
| 1073779500 | Tejas Health Care | Family Medicine | 890 E Travis St, La Grange, TX 78945-2364 | 2008-08-04 |
| 1801070974 | Bill D Nolen Pa | Family Medicine | 2 Saint Marks Pl Ste 112, La Grange, TX 78945-1256 | 2007-12-24 |
| 1689875783 | Marcy Dering | Family Medicine | 23 Calendar Ave, La Grange, IL 60525-2365 | 2007-05-29 |
| 1205042975 | Clodagh Therese Ryan | Family Medicine | 1400 W 47th St Ste 1, La Grange, IL 60525-6148 | 2007-05-16 |
| 1245457282 | Andrea Ocampo Colada | Family Medicine | 1323 Memorial Drive, Ste 214, La Grange, IL 60525 | 2007-04-19 |
| 1992886717 | Nasreen Ansari | Family Medicine | 23 Calendar Ct, La Grange, IL 60525-2365 | 2006-10-18 |
| 1922194083 | Barry Brian Sosnin Jr. | Family Medicine | 1019 Commerce Pkwy, La Grange, KY 40031-8779 | 2006-10-05 |
| Find all providers in LA GRANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.