Individual provider Active NPI

Wesley Rennie Harden III, M.D.

  • Surgery Physician
  • Sterling, VA
National Provider Identifier
1225015324
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10249 Issued in AL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20040726000808 PA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 7719967066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10249ALMDSurgery Physician
0101256377VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Vein Clinics of Chantilly LLC CurrentSince Jan 22, 2025 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.

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.

Verify at the official NPI Registry.