Individual provider Active NPI

Kevin B Hardmon, D.O

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1114976339
Registry record updated Nov 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS06023 Issued in FL
Practice address
9325 Bay Plaza Blvd
Suite 201
Tampa, FL 33619-4462
Phone
(813) 490-0099
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS06023 FL Primary

Addresses

Primary practice location

9325 Bay Plaza Blvd
Suite 201
Tampa, FL 33619-4462

Mailing address

2519 N McMullen Booth Rd
Suite 510 PMB-263
Clearwater, FL 33761-4173
Phone (727) 492-8561

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS06023FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
Optumcare Florida, LLC Past Accepting new patients
Medical Office Consultants, Inc. Family Medicine Past Accepting new patients
Pine Castle Urgent Care Center PLLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1114976339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 510 PMB-263",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614173",
            "telephone_number": "727-492-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 BAY PLAZA BLVD",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194462",
            "telephone_number": "813-490-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMON",
        "first_name": "KEVIN",
        "middle_name": "B",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS06023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.