Individual
JOHN GARY HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
470 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 226-4048
(334) 323-5675
Mailing address
2151 OLD ROCKY RIDGE ROAD, SUITE 106, BIRMINGHAM, AL 35216-7251
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-039697
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222102
—
AL
01
—
430045002
MEDICARE RR
AL
01
—
430071799
PALMETTO
AL
01
—
512-14837
BCBS
AL
Enumeration date
04/17/2006
Last updated
09/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us