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

Individual provider Obstetrics & Gynecology Physician · NPI 1619966256

Thomas R Hartzell, MD is an Obstetrics/Gynecology in Saint Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 1988, 38 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
38
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
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

21000 E 12 Mile Rd Ste 102
Saint Clair Shores, MI 48081-1156
Phone: (800) 848-0202
Fax: (586) 226-6949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301052970 (MI)

Record details

NPI number1619966256
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESSeptember 9, 2019
Mailing address21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081-1156

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Clair Shores