Individual provider Active NPI

Samuel James Harden, MD

  • Surgery Physician
  • Denver City, TX
National Provider Identifier
1316022148
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2023-0268 Issued in NM
Practice address
415 N Avenue F
Denver City, TX 79323-2741
Phone
(806) 592-9501
NPI assigned
Oct 27, 2006
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M0746 TX
Surgery Physician 208600000X 00017674 AL
Surgery Physician 208600000X 18392 WI
Surgery Physician 208600000X MD2023-0268 NM Primary

Addresses

Primary practice location

415 N Avenue F
Denver City, TX 79323-2741

Mailing address

2501 Jimmy Johnson Ste 205
Port Arthur, TX 77640-2009
Phone (706) 582-2344

Other practice location 1

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, TX, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041006001087 AL Practitioner - General SurgeryPractitioner - General PracticePractitioner - Emergency Medicine 8123087012 Reassigns benefits to 2 organizations
I20090817000642 GA Practitioner - General SurgeryPractitioner - Vascular Surgery 8123087012 Reassigns benefits to 2 organizations
I20110519000856 TX Practitioner - General Surgery 8123087012 Reassigns benefits to 4 organizations
I20250221000149 NM Practitioner - General Surgery 8123087012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of South Alabama College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

355 Clear Creek Pkwy
Suite 1004
Lavonia, GA 30553-4271
Phone (706) 750-0045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17674ALMDPharmacist
00017674ALMDSurgery Physician
18392WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Dec 1, 2014 Accepting new patients
Miners Colfax Medical Center CurrentSince Jan 6, 2025 Accepting new patients
American Family Care, LLC CurrentSince Sep 14, 2013 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Miners Colfax Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Timberland Medical Group Surgery CurrentSince Dec 1, 2014 Accepting new patients
Houston County Healthcare Authority CurrentSince May 1, 2017 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
American Family Care, LLC CurrentSince Sep 14, 2013 Accepting new patients
A & V Doctors PLLC CurrentSince Jul 5, 2017 Accepting new patients
Big Bend Medical Group CurrentSince Dec 1, 2015 Accepting new patients
Big Bend Medical Group Surgery CurrentSince Dec 1, 2015 Accepting new patients
Golden Rule Healthcare, PLLC Surgery CurrentSince Jan 19, 2014 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Clanton Emergency Physicians, LLC Past Accepting new patients
Miners Colfax Medical Center Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501

7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1316022148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON STE 205",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402009",
            "telephone_number": "706-582-2344",
            "fax_number": "706-582-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N AVENUE F",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232741",
            "telephone_number": "806-592-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "877402012",
            "country_code": "US",
            "telephone_number": "575-445-7720",
            "fax_number": "575-383-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0746",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00017674",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "18392",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2023-0268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver City, TX

Sources for this page

Verify at the official NPI Registry.