Robert E Hardy, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Sidney, MT
NPI 1265633275 · NPPES record last updated Oct 11, 2007
Key facts
- NPI
- 1265633275
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 9877 (MT)
- Practice address
- 216 14TH Ave SW
Sidney, MT 59270-3519 - Phone
- (406) 488-2577
- Fax
- (406) 488-2125
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9877 | MT | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9877 | MT | Yes |
Addresses
Primary practice location
216 14TH Ave SW
Sidney, MT 59270-3519
Mailing address
216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092276 | Medicaid | MT |
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- Watson Mark Gutowski
- Mandy Hall
- Deborah G Harris
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All providers in Sidney, MT · Obstetrics & Gynecology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.