Charles Wayne Hartzog in Montgomery - Orthopaedic Surgery

Charles Wayne Hartzog - NPI 1952388050

Charles Wayne Hartzog is a Orthopaedic Surgery in Montgomery, Alabama. Charles Wayne Hartzog practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Charles Wayne Hartzog is 1952388050. The last update date is 2023-04-11.

Charles Wayne Hartzog's current location address is 4294 Lomac St, Montgomery, Alabama. You can contact this provider via phone number 3342749000 and fax number 3342740857. The mailing address for Charles Wayne Hartzog is 4294 Lomac St, Montgomery, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Wayne Hartzog
Address 4294 Lomac St, Montgomery, Alabama
Phone Number 3342749000
Fax Number 3342740857
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1952388050
Provider Enumeration Date 2005-12-29
Last Updated Date 2023-04-11

Provider Mailing Address Detail

Address 4294 Lomac St
City Montgomery
State Alabama (AL)
Post Code 361063604
Phone Number 3342749000
Fax Number 3342740857

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 20880
Definition:
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 car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32697 AL --
32885 AL --
200028175 RR MEDICARE
6455 NCC/TYNET
940627 FIRST HEALTH
910085 UNITED HEALTHCARE
551322 PRIME HEALTH
5977258 AETNA
51032697 BLUE CROSS
51032885 BLUE CROSS

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FAQs about Charles Wayne Hartzog

What is the Charles Wayne Hartzog's unique identification number?

The Charles Wayne Hartzog has been assigned the NPI (National Provider Identifier) Number 1952388050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Charles Wayne Hartzog located?

The Charles Wayne Hartzog is located at 4294 Lomac St, Montgomery, AL 361063604.

What is the area of specialization for Charles Wayne Hartzog, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charles Wayne Hartzog is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.

On what date did Charles Wayne Hartzog receive its 1952388050 assignment from the Centers for Medicare & Medicaid Services?

The Charles Wayne Hartzog was assigned its 1952388050 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Charles Wayne Hartzog most recently updated or revised?

The information pertaining to Charles Wayne Hartzog, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-11.

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