Timothy J Hart (NPI# 1801988647, PAC ID# 9335140748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1801988647 |
| PAC ID by PECOS | 9335140748 |
| Professional Enrollment ID | I20080829000021 |
| Full Name | Timothy J Hart |
| Address |
1376 Bronco Hwy Oakland RI 02858-1000 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410011 | LANDMARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1376 Bronco Hwy, Oakland, RI 02858-1000 |
| Street Address |
1376 BRONCO HWY |
| City | OAKLAND |
| State | RI |
| Zip | 02858-1000 |
| City | OAKLAND |
| Zip Code | 02858 |
| Specialty | PODIATRY |
| City + Specialty | OAKLAND + PODIATRY |
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| 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.