NEAL RUSSELL HARTMAN (NPI# 1508125295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508125295 |
| Entity Type | Individual |
| Full Name | NEAL RUSSELL HARTMAN |
| Credential | M.D. |
| Practice Address |
1465 S Grand Blvd St. Louis MO 63104-1003 |
| Mailing Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Practice Telephone | 3145775360 |
| Practice Fax Number | 3142684116 |
| Mailing Telephone | 3145775360 |
| Mailing Fax Number | 3142684116 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
2015030821 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2015030821 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1465 S GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115589 | Shulamit Menashe Portnoy | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2005-06-21 |
| 1982959433 | Anya Jennifer Freedman | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-07-20 |
| 1275820359 | Joseph George Maliakkal | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-07-08 |
| 1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
| 1043500507 | Debra H Zand | Psychologist | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-04-18 |
| 1548569734 | Elisa Rachel Pincus | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-03-28 |
| 1265747596 | Dhiren Ranchhodbhai Patel | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2010-08-11 |
| 1346404191 | Justin B Josephsen | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-07-10 |
| 1043471477 | Rocio Del Carmen Zeballos-chavez | Internal Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-06-18 |
| 1013195122 | Margaret Kathleen Siska | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
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| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992859433 | Cora Orphe-harris | Emergency Medicine | St Anthony's Medical Center, 10010 Kennerly Rd, St. Louis, MO 63128 | 2007-01-22 |
| 1689602781 | Julie R Ferguson | Emergency Medicine | 1465 S. Grand Blvd, St. Louis, MO 63104 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457871006 | Timothy Andrew Wilson | Emergency Medicine | 1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 | 2017-06-25 |
| 1497190854 | Michel John Adonis | Emergency Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2013-04-29 |
| 1912340910 | Kristen Lee Pontiff | Emergency Medicine | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-10 |
| 1326324609 | Jaya Goswami | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-10-31 |
| 1740577105 | Erin Marie Hall | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-07-06 |
| 1942596374 | Nathaniel T Weberding | Emergency Medicine | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-06-23 |
| 1720309016 | Philip Mulayara Abraham | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-06-21 |
| 1548403181 | Timothy James Casper | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2009-04-13 |
| 1073769733 | Noor Riaz | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2008-08-13 |
| 1508022823 | Washington University | Emergency Medicine | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2008-08-06 |
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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.