STEFAN THOMAS HARTMANN (NPI# 1861966020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861966020 |
| Entity Type | Individual |
| Full Name | STEFAN THOMAS HARTMANN |
| Credential | PA-C |
| Practice Address |
2100 N Wickham Rd Melbourne FL 32935-8110 |
| Mailing Address |
325 Banyan Way Melbourne Beach FL 32951-2015 |
| Practice Telephone | 3217527100 |
| Practice Fax Number | 3217527105 |
| Mailing Telephone | 3214327879 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
PA9111847 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405126 | Marilyn Carol Moss | Family Medicine | 2100 N Wickham Rd, Melbourne, FL 32935-8110 | 2005-05-23 |
| 1215210273 | Urgent Doccs Inc | Clinic/Center | 2100 N Wickham Rd, Melbourne, FL 32935 | 2011-09-26 |
| 1669648754 | Dale Phillip Greyslak | Physician Assistant | 2100 N Wickham Rd, Melbourne, FL 32935-8110 | 2008-05-08 |
| 1326140716 | Diagnostic and Clinical Care Services Inc | Specialist | 2100 N Wickham Rd, Suite 1, Melbourne, FL 32935-2300 | 2006-09-05 |
| 1063476430 | Angela S Spencer | Psychiatry & Neurology | 2100 N Wickham Rd, Melbourne, FL 32935 | 2006-04-13 |
| 1609860626 | Sangita Sahay | Internal Medicine | 2100 N Wickham Rd, Melbourne, FL 32935-2300 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 364SP0810X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667862 | Ability Plus Mental Health LLC | Clinical Nurse Specialist | 9292 Shoal Creek Dr, Tallahassee, FL 32312-4277 | 2020-10-19 |
| 1295222883 | Elizabeth Odicio | Clinical Nurse Specialist | 3255 Forest Hill Blvd Ste 107, West Palm Beach, FL 33406-5854 | 2018-04-18 |
| 1669936258 | Marina B Ross | Clinical Nurse Specialist | 305 Skyline Dr Ste 1, Lady Lake, FL 32159-4592 | 2019-01-28 |
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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.