Individual provider · Type 1 NPI

Stephen J. Hartsock, MD

Sports Medicine (Family Medicine) Physician · Avon, IN

NPI number 1114938453 Active

Practice location

1115 Ronald Reagan Pkwy, Ste 148
Avon, IN 46123-6910

Call (317) 962-8893 Map

Fax (317) 962-6722

Mailing address

250 N Shadeland Ave, Ste 130 - Provider Enrollment
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X036110046 (IL)
Family Medicine Physician 207Q00000X01072804A (IN)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X01072804A (IN)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1114938453

Stephen J. Hartsock, MD's National Provider Identifier is 1114938453, issued on Aug 11, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Avon, IN. The record was last updated on Mar 7, 2023.