Active NPI
James E Hardy III, M.D.
- Plastic Surgery Physician
- Ponte Vedra Beach, FL
National Provider Identifier
1043400153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME99174
- Practice address
- 232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600 - Phone
- (904) 285-7546
- Fax
- (904) 273-8511
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME99174 | FL | Primary |
| Plastic Surgery Physician | 208200000X | 25MA07785200 | NJ |
Addresses
Primary practice location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Mailing address
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone (904) 285-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1043400153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 PONTE VEDRA PARK DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826600",
"telephone_number": "904-285-7546",
"fax_number": "904-273-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 PONTE VEDRA PARK DR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826600",
"telephone_number": "904-285-7546",
"fax_number": "904-273-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "JAMES",
"middle_name": "E",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME99174",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MA07785200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.