JEFFREY HARTZELL MD PC (NPI# 1881031151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881031151 |
Entity Type | Organization |
Organization Name | JEFFREY HARTZELL MD PC |
Other Organization Name | INDIANA SPORTS MEDICINE AND ORTHOPAEDICS |
Practice Address |
2936 Frontage Rd Warsaw IN 46580-3914 |
Mailing Address |
10214 Chestnut Plaza Dr #231 Fort Wayne IN 46814-8970 |
Practice Telephone | 2602055634 |
Mailing Telephone | 2602055634 |
Enumeration Date | 2013-05-28 |
Last Update Date | 2014-02-28 |
Authorized Official Name | DR. JEFFREY HARTZELL (OWNER) |
Authorized Official Telephone | 2602055634 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201163670A | 05 |
Other Name | Type Code |
---|---|
Indiana Sports Medicine and Orthopaedics | Doing Business As Name - Organization |
Street Address |
2936 FRONTAGE RD |
City | WARSAW |
State | IN |
Zip Code | 46580-3914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982060190 | Fort Wayne Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 2936 Frontage Rd, Warsaw, IN 46580-3914 | 2016-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
Find all providers in zip 46580 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
1578534731 | Lesly Germain | Orthopaedic Surgery | 76 N Main St, Warsaw, NY 14569-1329 | 2006-01-27 |
1518943042 | Leo Dean Jansen | Orthopaedic Surgery | 2124 N Biomet Dr, Warsaw, IN 46582-7858 | 2005-12-16 |
1073514451 | Leamon D Williams | Orthopaedic Surgery | 1500 Provident Dr Ste B, Warsaw, IN 46580 | 2005-08-09 |
1124589445 | Wyoming County | Orthopaedic Surgery | 400 N Main St, Warsaw, NY 14569-1025 | 2019-03-28 |
1891203907 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 400 North Main St., Buffalo Orthopaedic Group, LLP, Warsaw, NY 14569 | 2018-01-11 |
1184849069 | Roberta Edmundson Rose | Orthopaedic Surgery | 800 E Center St, Warsaw, IN 46580-3325 | 2007-04-16 |
1619005030 | Lesly Germain Md PC | Orthopaedic Surgery | 400 N Main St, Warsaw, NY 14569-1025 | 2007-02-28 |
1518929744 | Wyoming Valley Orthopedics | Orthopaedic Surgery | 400 N Main St, Warsaw, NY 14569-1025 | 2006-04-04 |
1134105679 | Jansen Orthopaedic Clinic, LLC | Orthopaedic Surgery | 2124 N Biomet Dr, Warsaw, IN 46582-7858 | 2005-12-16 |
Find all providers in WARSAW |
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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.