Stephen Clay Hardin, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03184 Issued in TX

Practice address

1920 S Loop 256
Palestine, TX 75801

Phone

(903) 731-9599

Fax

(903) 731-4202

NPI assigned

Apr 14, 2006

Last updated

Oct 15, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Athens Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Palestine, TX
  • NPI 1073539144
  NPD (past)
• East Texas Medical Center Healthcare Associates

  dba Texas Trauma and Emergency Care

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1366406373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-731-9599",
            "fax_number": "903-731-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-731-9599",
            "fax_number": "903-731-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "STEPHEN",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ro-Jon Allen Grogans, M.D.
• Johnny Lee Haley, M.D.
• Rachel Hall
• Christy Hammond, PTA
• Jenny Hanes, CRNA
• William McDonald Hardy Jr., MSPA-C
• Ernie S Hartley, MSN FNP-BC
• Healthy Eyes Vision Center PA
• Shawna Hedger, LPC
• Eric L Hensen, DO

• Physician Assistant in Palestine, TX
• Providers in Palestine, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.