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

Shay Hartvickson, MD

Individual provider General Practice Physician · NPI 1477913747

Shay Hartvickson, MD is a General Practice in Fort Cavazos, Texas. Graduated from University of North Dakota School of Medicine in 2016, 10 years ago. Practices with Em Alliance Texas PLLC, a 89-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
10
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2016
Specialties on file
3
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

590 Medical Center Rd
Fort Cavazos, TX 76544
Phone: (701) 208-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Building 7015 Murphy Loop, Fort Hood, TX 76544-1000 — (208) 208-1808
  • 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-0117

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14729 (ND)
General Practice Physician Taxonomy 208D00000X · Licence PT14729 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477913747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESAugust 14, 2024
Certification dateAugust 12, 2024
Mailing address590 Medical Center Rd., Fort Cavazos, TX 76544

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Em Alliance Texas Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Cavazos