Organization Active NPI

James E Hardy MD Plastic Surgery LLC

  • Plastic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1073775797
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME99174 Issued in FL
Legal business name
JAMES E HARDY MD PLASTIC SURGERY LLC
Practice address
11512 Lake Mead Ave
Suite 605
Jacksonville, FL 32256-9680
Phone
(904) 996-0600
Fax
(904) 996-0650
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James E Hardy, M.D.
Title
Owner
Phone
(904) 996-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME99174 FL Primary

Addresses

Primary practice location

11512 Lake Mead Ave
Suite 605
Jacksonville, FL 32256-9680

Mailing address

11512 Lake Mead Ave
Suite 605
Jacksonville, FL 32256-9680
Phone (904) 996-0600

National Provider Directory

National Provider Directory

Locations

11512 Lake Mead Ave
Unit 536B
Jacksonville, FL 32256
Phone (904) 996-0600

11512 Lake Mead Ave
Unit 605
Jacksonville, FL 32256
Phone (904) 900-1477

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1073775797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "SUITE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-996-0600",
            "fax_number": "904-996-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE",
            "address_2": "SUITE 605",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569680",
            "telephone_number": "904-996-0600",
            "fax_number": "904-996-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E HARDY MD PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-996-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME99174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.