Active NPI
Wesley Rennie Harden III, M.D.
- Surgery Physician
- Sterling, VA
National Provider Identifier
1225015324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10249
- Practice address
- 14 Pidgeon Hill Drive
Suite 260
Sterling, VA 20165-6133 - Phone
- (571) 313-3771
- Fax
- (571) 313-3775
- NPI assigned
- Dec 29, 2005
- Last updated
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101256377 | VA | |
| Surgery Physician | 208600000X | 10249 | AL | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 10249 | AL | |
| Phlebology Physician | 202K00000X | MD019142E | PA | |
| Phlebology Physician | 202K00000X | 0101256377 | VA |
Addresses
Primary practice location
14 Pidgeon Hill Drive
Suite 260
Sterling, VA 20165-6133
Mailing address
2015 Spring Rd
Ste 300
Oak Brook, IL 60523-3944
Phone (630) 725-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726000808 | PA | Practitioner - General Surgery | 7719967066 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10249 | AL | MD | Surgery Physician |
| 0101256377 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Vein Clinics of Chantilly LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11350 Random Hills Rd
Ste 440
Fairfax, VA 22030
Phone (571) 222-5318
1500 Cornerside Blvd
Ste 300
Vienna, VA 22182
Phone (571) 771-3489
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.
-
- Vascular Surgery Physician
- Chantilly, VA
- NPI 1124670930
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1225015324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 SPRING RD",
"address_2": "STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605233944",
"telephone_number": "630-725-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PIDGEON HILL DRIVE",
"address_2": "SUITE 260",
"city": "STERLING",
"state": "VA",
"postal_code": "201656133",
"telephone_number": "571-313-3771",
"fax_number": "571-313-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "WESLEY",
"middle_name": "RENNIE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101256377",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "10249",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "10249",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "PA",
"license": "MD019142E",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "VA",
"license": "0101256377",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.