Active NPI
Ronald D Hardin Sr., M.D.
- Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1356312433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C4626
- Practice address
- 9501 Baptist Health Dr Ste 165
Little Rock, AR 72205-6226 - Phone
- (501) 219-0721
- Fax
- (501) 224-1198
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C4626 | AR | Primary |
Addresses
Primary practice location
9501 Baptist Health Dr Ste 165
Little Rock, AR 72205-6226
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other practice location 1
9501 Baptist Health Dr Ste 100
Little Rock, AR 72205-6226
Phone (501) 224-9100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C4826 | Other | TRICARE | |
| 104758001 | Medicaid | AR | |
| 13669000010 | Other | AR | QUALCHOICE |
| 52123 | Other | AR | BLUE CROSS BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4626 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Endoscopy Center, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1972574200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1356312433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 BAPTIST HEALTH DR STE 165",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056226",
"telephone_number": "501-219-0721",
"fax_number": "501-224-1198"
}
],
"practiceLocations": [
{
"address_1": "9501 Baptist Health Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722056226",
"country_code": "US",
"telephone_number": "501-224-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDIN",
"first_name": "RONALD",
"middle_name": "D",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "C4626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "C4826",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104758001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "13669000010",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE",
"identifier": "52123",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.