JONATHAN D HART (NPI# 1154300770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300770 |
| Entity Type | Individual |
| Full Name | JONATHAN D HART |
| Credential | M.D. |
| Practice Address |
2605 E Creeks Edge Dr Bloomington IN 47401-8368 |
| Practice Telephone | 8123552300 |
| Practice Fax Number | 8123552316 |
| Mailing Telephone | 8123552300 |
| Mailing Fax Number | 8123552316 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01039715 | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01039715A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01039715A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200008900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821453663 | Jonathan Hart | Counselor | 411 Woodward Ave, Rochester, MI 48307-1173 | 2015-12-21 |
| 1437596459 | Jonathan Vincent Hart | Social Worker | 2429 W Leland Ave Apt 2, Chicago, IL 60625-3501 | 2013-05-30 |
| 1700186962 | Jonathan Bradley Hart | Physical Therapy Assistant | 16 E Wood Ave, Jackson, OH 45640-1238 | 2010-10-21 |
| 1245441526 | Jonathan Michael Hart | Dentist | 8028 Cantrell Rd, Little Rock, AR 72227-2419 | 2007-05-25 |
| 1508236787 | Jonathan Hart | Psychologist | 3035 Nw 63rd St, Ste 227, Oklahoma City, OK 73116-3632 | 2015-10-01 |
| 1346570157 | Jonathan Michael Hart | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2009-12-30 |
| 1770734634 | Jonathan E Hart | Counselor | 9378 Olive Blvd, Suite 317, Saint Louis, MO 63132-3215 | 2008-10-08 |
| 1528232295 | Jonathan David Hart | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-04-14 |
| 1134321631 | Jonathan A. Hart | Psychologist | 295 Fell St, San Francisco, CA 94102-5147 | 2007-06-05 |
| 1235270638 | Jonathan Perry Hart | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2007-02-09 |
| Street Address |
2605 E CREEKS EDGE DR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043282 | Narcisa Codruta German | Internal Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2005-06-16 |
| 1649837469 | Bailee Rochelle Keen | Specialist/Technologist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2019-05-28 |
| 1851881221 | Dana Marie Beals | Dietitian, Registered | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2018-05-11 |
| 1326549106 | David H Schroeder | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2018-02-27 |
| 1942715545 | Scott T Schroeder | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-12-06 |
| 1730693128 | Rachael D Norton | Occupational Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-22 |
| 1134632979 | Jan Marlene Newell | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-15 |
| 1265944912 | Emily Mcclain | Occupational Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-02 |
| 1609388404 | Christopher A Gales | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-02 |
| 1578082350 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1073165650 | Genevieve Elon Monge | Family Medicine | 18651 Valley Blvd, Bloomington, CA 92316-1831 | 2019-07-12 |
| 1982117172 | Andry Medical Services | Family Medicine | 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 | 2017-11-09 |
| 1033459904 | Charles R Farmer | Family Medicine | 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 | 2013-02-28 |
| 1467798504 | James Anthony Ray | Family Medicine | 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 | 2012-12-18 |
| 1902140585 | Fountain Healthcare Limited Liability Company | Family Medicine | 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 | 2012-11-20 |
| 1306147236 | Community Health Network | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2010-11-09 |
| 1942501978 | Premier Medical Group, LLC | Family Medicine | 2102 E Washington St, Bloomington, IL 61701-4321 | 2010-11-08 |
| 1356660666 | Glen Edward Tomlinson | Family Medicine | 42 Crista Ann Ct, Bloomington, IL 61704-8699 | 2010-05-26 |
| 1285862664 | Charles W Mcclary | Family Medicine | 1411 S Sare Rd, Bloomington, IN 47401-4431 | 2009-06-24 |
| 1982840005 | Thomas Patterson Cairns | Family Medicine | 10258 Berkshire Rd, Bloomington, MN 55437-2265 | 2008-12-18 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on JONATHAN D HART.
| 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.