Active NPI
Diana Elizabeth Lardy, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Madison, WI
National Provider Identifier
1356558498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 21756-020
- Practice address
- 3706 Orin Rd
Madison, WI 53704-3643 - Phone
- (608) 251-7000
- Fax
- (608) 241-3854
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 21756-020 | WI | Primary |
Addresses
Primary practice location
3706 Orin Rd
Madison, WI 53704-3643
Mailing address
3902 Meyer Ave
Madison, WI 53711-1617
Phone (608) 238-9165
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21756-020 | WI | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356558498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 MEYER AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537111617",
"telephone_number": "608-238-9165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 ORIN RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537043643",
"telephone_number": "608-251-7000",
"fax_number": "608-241-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARDY",
"first_name": "DIANA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "21756-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.