Individual provider Active NPI

Robert J Harding, PA

  • Physician Assistant
  • Fredericksburg, PA
National Provider Identifier
1205896545
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA000933L Issued in PA
Practice address
120 S.Tan Street, Suite 1
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-0009
Phone
(717) 865-6644
Fax
(717) 865-7321
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA000933L PA Primary

Addresses

Primary practice location

120 S.Tan Street, Suite 1
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-0009

Mailing address

PO Box 9
Fredericksburg Community Health Center PC
Fredericksburg, PA 17026-0009
Phone (717) 865-6644

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA000933LPAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1205896545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "FREDERICKSBURG COMMUNITY HEALTH CENTER PC",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S.TAN STREET, SUITE 1",
            "address_2": "FREDERICKSBURG COMMUNITY HEALTH CENTER PC",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170260009",
            "telephone_number": "717-865-6644",
            "fax_number": "717-865-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA000933L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.