Glenn R Hardy, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0029690 Issued in MD

Practice address

510 Idlewild Ave
Easton, MD 21601-3824

Phone

(410) 820-8226

Fax

(410) 820-8405

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: glennhardy@toc.allscriptsdirect.net

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1285638510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "address_2": "STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0029690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333941600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CF17-0006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Deemer Hanks, R.N.
• Stephen R Hanna Jr., M.D.
• Sarah Grace Hansen, LMSW
• Timothy David Hardin, LMSW
• Aubree Lyn Harding
• Sarah Harper Cloxton, MS, LGPC
• Harris Teeter LLC
• Amy Harris
• Danielle Alis Harris
• Kim Rochelle Harris, LGPC

• Physical Medicine & Rehabilitation Physician in Easton, MD
• Providers in Easton, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.