Richard M Hackbarth in Grand Rapids - Pediatric Critical Care Medicine
Richard M Hackbarth - NPI 1912979220
Richard M Hackbarth is a Pediatric Critical Care Medicine in Grand Rapids, Michigan. Richard M Hackbarth practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Richard M Hackbarth is 1912979220. The last update date is 2021-03-05.
Richard M Hackbarth's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162670118 and fax number 6162670090. The mailing address for Richard M Hackbarth is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard M Hackbarth |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6162670118 |
| Fax Number | 6162670090 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912979220 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2021-03-05 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6162670118 |
| Fax Number | 6162670090 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 4301405798 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3504109321 | MI | BCBSM | |
| 2693093 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard M Hackbarth by the Centers for Medicare & Medicaid Services?
The Richard M Hackbarth has been assigned the NPI (National Provider Identifier) 1912979220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Richard M Hackbarth's physical address?
The Richard M Hackbarth is physically located at 100 Michigan St Ne, in the city of Grand Rapids, MI, with the postal code 495032560.
What is Richard M Hackbarth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard M Hackbarth's specialized field of practice is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0203X.
When did Richard M Hackbarth receive its 1912979220 assignment?
The Richard M Hackbarth was assigned its 1912979220 on 2006-02-02, which is the date when this unique identifier was issued to the organization.
When was the Richard M Hackbarth's information last updated?
The Richard M Hackbarth's information was last updated on 2021-03-05.