SHAY HARTVICKSON


Address: Building 7015 Murphy Loop, Hood Army Airfield, Fort Hood, TX 76544-1000
Phone: (208) 208-1808

SHAY HARTVICKSON (NPI# 1477913747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477913747
Entity Type Individual
Full Name SHAY HARTVICKSON
Credential M.D.
Practice Address Building 7015 Murphy Loop
Hood Army Airfield
Fort Hood
TX 76544-1000
Practice Telephone (208) 208-1808
Mailing Telephone (208) 208-1808
Enumeration Date 2016-03-01
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice PT14729 ND Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 984311000 2539680117

Office Location

Street Address BUILDING 7015 MURPHY LOOP
HOOD ARMY AIRFIELD
City FORT HOOD
State TX
Zip Code 76544-1000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124626429 Gilberto Rolando Nunez Dental Hygienist Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 2020-10-09
1184236895 Christina Belousov Dentist 14351 Battalion Ave, Apo, AA 76544 2020-08-24
1598377095 Stephen Doh Dentist 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 2020-08-18
1265041602 Jamie Gregory Registered Nurse Building 33003 Battalion Ave, Fort Hood, TX 76544 2020-07-30
1013525559 Danielle Robbins Social Worker 2255 761st Tank Battalion, Fort Hood, TX 76544 2020-07-21
1811530397 Keven Faust Physician Assistant Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 2019-10-28
1760024483 Whitney C Weatherall Licensed Vocational Nurse 5458 Hughes St Unit 2, Fort Hood, TX 76544 2019-10-14
1982255436 Rojalina Nayak Dentist Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 2019-09-26
1730735770 Kai Steven Hatch Dentist 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 2019-08-15
1881247864 Melissa Ann Marcelli-flint Social Worker 21011 Old Ironsides Avenue, Fort Hood, TX 76544 2019-07-19
Find all providers in zip 76544

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508326141 Devin Jagow General Practice 36000 Darnall Loop # 5w, Fort Hood, TX 76544-5095 2019-03-20
1760809891 Amanda Lezanski-gujda General Practice Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-4752 2014-03-26
1538638143 Dean Miller General Practice Thomas Moore Clinic, 2245 761st Tank Battalion Avenue, Fort Hood, TX 76544 2018-11-13
1700378635 Andrew Mark Glenn General Practice 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 2018-06-06
1669972154 Taylor Francis Guinan General Practice 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 2018-02-20
1972031888 Thomas Gilder General Practice 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 2017-05-23
1699202820 David A Szink General Practice 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 2017-05-18
1609228485 Kristina E Thompson General Practice 36000 Darnall Loop, Fort Hood, TX 76544-5095 2016-07-06
1083077069 Grace Baik General Practice Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX 76544 2016-03-29
1043693716 Salvatore Bertucci General Practice 36000 Darnall Loop, Fort Hood, TX 76544-5095 2015-06-30
Find all providers in FORT HOOD

Competitor

Search similar providers

City FORT HOOD
Zip Code 76544

Improve Information

Please comment or provide details below to improve the information on SHAY HARTVICKSON.

Dataset Information

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.

Trending Searches