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CHARLES WAYNE HARTZOG MD NPI 1952388050


NPI Information

NPI: 1952388050
Provider Name: CHARLES WAYNE HARTZOG, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: REHAB ASSOCIATES, LLC

PECOS Registration: Yes

Address:
4294 LOMAC ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 274-9000
Get Directions

Charles Wayne Hartzog, MD is an orthopaedic surgery in Montgomery, AL with 33 years of experience. The provider is 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 care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Charles Wayne Hartzog, MD NPI is 1952388050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

4294 LOMAC ST
MONTGOMERY, AL
ZIP 36106-604
Phone: (334) 274-9000
Fax: (334) 274-0857

The NPI 1952388050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine20880ALABAMANo
2207X00000XOrthopaedic Surgery20880ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15977258OTHERAETNA
2H430MEDICARE PIN
30910085OTHERUNITED HEALTHCARE
4H431MEDICARE PIN
551032697OTHERBLUE CROSS
6200028175OTHERRR MEDICARE
751032885OTHERBLUE CROSS
8000032697MEDICAIDALABAMA
9000032885MEDICARE PIN
106455OTHERNCC/TYNET
11F93837MEDICARE UPIN
12H564MEDICARE PIN
13551322OTHERPRIME HEALTH
14000032885MEDICAIDALABAMA
15H429MEDICARE PIN
16000032697MEDICARE PIN
17940627OTHERFIRST HEALTH
18I048MEDICARE PIN
19J030MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.