Matthew G Hardwick, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35054710 Issued in OH

Practice address

1425 N Fairfield Rd.
Ste 120
Beavercreek, OH 45432-4543

Phone

(937) 320-3888

Fax

(937) 320-3848

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1154364677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MERCHANT ST, STE 220 - ATTN CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463740",
            "telephone_number": "513-533-1199",
            "fax_number": "513-645-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD.",
            "address_2": "STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454324543",
            "telephone_number": "937-320-3888",
            "fax_number": "937-320-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35054710H",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35054710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Denise Hamilton, MRC
• Gloria Han
• Hanley Chiropractic Healthcare Inc.
• Stuart D Hanley, DC
• Paul Harding
• Subhalakshmi Hari, DDS
• Jeff T Harris
• Kate Harris, MD
• Marcia A Harris
• Judith A. Harrison, O.T.

• Pediatrics Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.