Dr Roderic Joel Hartman, MD - Pediatrics in San Luis, AZ

Dr Roderic Joel Hartman, MD is a Pediatrics physician based in San Luis, Arizona. Dr Roderic Joel Hartman is licensed to practice in Arizona (license number 21315) and his current practice location is 1896 E Babbitt Lane, San Luis, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 722-6112.

NPI number for Dr Roderic Joel Hartman is 1962607317 and his current mailing address is Po Box 1669, 1896 E Babbitt Lane, San Luis, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962607317.

Contact Information

Dr Roderic Joel Hartman, MD
1896 E Babbitt Lane,
San Luis, AZ 85349-1669
(928) 722-6112
(928) 722-6113



Physician's Profile

Full NameDr Roderic Joel Hartman
GenderMale
SpecialityPediatrics
Location1896 E Babbitt Lane, San Luis, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962607317
  • Provider Enumeration Date: 06/17/2007
  • Last Update Date: 10/03/2016

Medical Identifiers

Medical identifiers for Dr Roderic Joel Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962607317NPI-NPPES
651170616OtherAZTAX ID
907349MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G87523 (California)Secondary
208000000XPediatrics 21315 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roderic Joel Hartman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Roderic Joel Hartman, MD
Po Box 1669, 1896 E Babbitt Lane,
San Luis, AZ 85349-1669

Ph: (928) 722-6112
Dr Roderic Joel Hartman, MD
1896 E Babbitt Lane,
San Luis, AZ 85349-1669

Ph: (928) 722-6112

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› Verified 6 days ago


Pediatrics Doctors in San Luis, AZ

Sucharitha Gunasekera, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 815 E Juan Sanchez Blvd, San Luis, AZ 85349
Phone: 928-627-3822    Fax: 928-627-3989
Victoria Lasala, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349
Phone: 928-722-6112    Fax: 928-722-6113
Jean M. Amon, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1896 E. Babbit Ln, Suite D, San Luis, AZ 85349
Phone: 928-722-6112    Fax: 928-722-6113
Dr. Leonardo Rodriguez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349
Phone: 928-722-6112    Fax: 928-722-6113
Daniel Anthony Calabrese, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349
Phone: 928-722-6112    Fax: 928-722-6113

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