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JEFFREY GLEN HART PA-C
NPI 1396728846
Physician Assistant - Medical in Fort Drum, NY

Active since November 29, 2005
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Glen Hart Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY GLEN HART PA-C (NPI 1396728846) is an individual medical provider in Fort Drum, New York, licensed in Ohio (50-000688) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1396728846
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEFFREY GLEN HARTCredential: PA-C
Location Address11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALSFort Drum, NY 13602-5438
Mailing Address11050 Mount Belvedere Blvd, Usa Meddac/credentialsFort Drum, NY 13602-5438 · (315) 772-4025 · Fax (315) 772-9498
Phone(315) 772-4025
Fax(315) 772-9498
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396728846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50-000688
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Identifiers 1

Medicare UPINVADOOONY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Hart's NPI number?

The NPI number for Jeffrey Hart is 1396728846. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Jeffrey Hart located?

Jeffrey Hart practices at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.

What is Jeffrey Hart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jeffrey Hart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.