Richard M Hartman (NPI# 1831179878, PAC ID# 5395840771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1831179878 |
| PAC ID by PECOS | 5395840771 |
| Professional Enrollment ID | I20181001000294 |
| Full Name | Richard M Hartman |
| Organization Legal Name | STATELINE ANESTHESIOLOGISTS SC |
| Address |
1969 W Hart Rd Beloit WI 53511-2230 |
| Phone Number | 6083645355 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1355353822 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520100 | BELOIT HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1969 W Hart Rd, Beloit, WI 53511-2230 | 6083645355 | STATELINE ANESTHESIOLOGISTS SC |
| Organization Legal Name | STATELINE ANESTHESIOLOGISTS SC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hajera Taher | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Jimson C Tse | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Saja C Puthiyottil | Certified Registered Nurse Anesthetist (crna) | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Mohammed J Mohiuddin | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Hailong Wang | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Mark T Labor | Certified Registered Nurse Anesthetist (crna) | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Tania S Balabanova | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Samuel H Cannon Jr. | Certified Registered Nurse Anesthetist (crna) | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Beverly Joy La Madrid | Certified Registered Nurse Anesthetist (crna) | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Street Address |
1969 W HART RD |
| City | BELOIT |
| State | WI |
| Zip | 53511-2230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hajera Taher | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Michael K Abernethy | Emergency Medicine | Southern Wisconsin Emergency Associates Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Vijaya Somaraju | Infectious Disease | Beloit Health System Inc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Michael V Coogan | Emergency Medicine | Southern Wisconsin Emergency Associates Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Mashood Ahmad | Nephrology | Rna of Rockford, LLC | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Kevin P Emmerich | Emergency Medicine | Southern Wisconsin Emergency Associates Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Christopher S Vandivort | Emergency Medicine | Southern Wisconsin Emergency Associates Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Jimson C Tse | Anesthesiology | Stateline Anesthesiologists Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Lauren M Sheehy | Emergency Medicine | Southern Wisconsin Emergency Associates Sc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Nicole A Bindl | Nurse Practitioner | Beloit Health System Inc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey T Bouc | Family Medicine | 3005 S Riverside Dr, Suite 101, Beloit, WI 53511-1500 | |
| Ann L Pruyne | Occupational Therapy | 828 E Azalea Ter, Beloit, WI 53511-1606 | |
| Frank C Kollins | Chiropractic | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | |
| Sara A Jackson | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Madelene G Hamann | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Steven S Yang | Gastroenterology | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Cynthia L Philpott | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Yehia K Khoga | Psychiatry | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Joseph K Kittah | Pulmonary Disease | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Maria M Poplawska Goetzen | Family Medicine | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Find all physicians in zip 53511 | |||
| City | BELOIT |
| Zip Code | 53511 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BELOIT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Richard M Hartman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.