Active NPI
Evelyn Harder, M.D.
- Anesthesiology Physician
- Leavenworth, KS
National Provider Identifier
1114917069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD.203341
- Practice address
- 4101 S. 4TH St., Trafficway
Dept of Anesthesiology
Leavenworth, KS 66048 - Phone
- (913) 682-2000
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD.203341 | LA | Primary |
Addresses
Primary practice location
4101 S. 4TH St., Trafficway
Dept of Anesthesiology
Leavenworth, KS 66048
Mailing address
4101 S. 4TH St., Trafficway
Dept of Anesthesiology
Leavenworth, KS 66048
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.203341 | LA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1114917069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 S. 4TH ST., TRAFFICWAY",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S. 4TH ST., TRAFFICWAY",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "66048",
"telephone_number": "913-682-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDER",
"first_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "MD.203341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.