Individual provider Active NPI

John Sherman Hardy Jr., M.D.

  • Allergy & Immunology Physician
  • Seabeck, WA
National Provider Identifier
1144547662
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD00036114 Issued in WA
Practice address
7153 Seawitch LN NW
Seabeck, WA 98380-9593
Phone
(360) 830-9364
Fax
(360) 830-3341
NPI assigned
Apr 23, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD00036114 WA Primary
Internal Medicine Physician 207R00000X MD00036114 WA

Addresses

Primary practice location

7153 Seawitch LN NW
Seabeck, WA 98380-9593

Mailing address

7153 Seawitch LN NW
Seabeck, WA 98380-9593
Phone (360) 830-9364

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

LicenseStateTypeSpecialty
MD00036114WAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients
Northwest Asthma & Allergy Center Allergy & Immunology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1144547662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 SEAWITCH LN NW",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809593",
            "telephone_number": "360-830-9364",
            "fax_number": "360-830-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 SEAWITCH LN NW",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809593",
            "telephone_number": "360-830-9364",
            "fax_number": "360-830-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JOHN",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD00036114",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seabeck, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.