Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Warnock Hartley, MD

Individual provider Specialist · NPI 1558319046

Jack Warnock Hartley, MD is a Specialist in Schenectady, New York. Licensed in New York and Oregon. Registered with an NPI since 2006.

Licensed in
NY, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3323 E Old State Rd
Schenectady, NY 12303-5255
Phone: (541) 306-8653
Fax: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 296892 (NY)
Specialist Taxonomy 174400000X · Licence MD12789 (OR)

Record details

NPI number1558319046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address3323 E Old State Rd, Schenectady, NY 12303-5255

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