RODERIC J. HARTMAN M.D. – NPI #1962607317
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RODERIC HARTMAN is a physician located in SAN LUIS, AZ. NPPES has assigned the NPI number 1962607317 to RODERIC HARTMAN on June 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Oct 03, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RODERIC HARTMAN below.

NPI Profile for
RODERIC J. HARTMAN

NPI Number
1962607317
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RODERIC J. HARTMAN
Credentials
M.D.
Primary location
1896 E BABBITT LANE
SAN LUIS, AZ 85349-1669
Phone: (928) 722-6112 Fax: (928) 722-6113
Mailing address
PO BOX 1669
1896 E BABBITT LANE
SAN LUIS, AZ 85349-1669
Phone: (928) 722-6112 Fax: (928) 722-6113
Sole Proprietor
No
Updated
Identifiers

Identifiers for RODERIC HARTMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTAX IDAZ651170616
MEDICAIDAZ907349
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA G87523

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.