Individual provider Active NPI

Lance Hardison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1407084155
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
295 Issued in OK
Practice address
1126 SW 89TH St
Oklahoma City, OK 73139
Phone
(405) 323-2147
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 295 OK Primary

Addresses

Primary practice location

1126 SW 89TH St
Oklahoma City, OK 73139

Mailing address

1126 SW 89TH St
Oklahoma City, OK 73139-9104
Phone (405) 323-2147

Other practice location 1

13301 N Meridian Ave Ste 701
Oklahoma City, OK 73120-8357
Phone (405) 751-6153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000880 OK Practitioner - Podiatry 2860648623 Reassigns benefits to 1 organization
Practice locations: Oklahoma City, OK; Guthrie, OK

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lance E Hardison DPM PCGroup PAC ID 4688653348, 2 clinicians

Practice addresses (Care Compare)

1126 S W
Suite 89
Oklahoma City, OK 73139-9104

1126 SW 89TH St
Oklahoma City, OK 73139-9104
Phone (405) 692-7114

13301 N Meridian Ave
Suite 701
Oklahoma City, OK 73120-8357
Phone (405) 751-6152

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Oklahoma City, OK, CCN 377048
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue118
Removal of skin lesions1-10
Removal of nail tissue305
Removal or shaving of skin growth155
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lance E Hardison DPM PC Foot & Ankle Surgery CurrentSince Aug 27, 2012 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

13301 N Meridian Ave
Ste 701
Oklahoma City, OK 73120
Phone (405) 751-6152

1126 SW 89th St
Oklahoma City, OK 73139
Phone (405) 692-7114

Interoperability endpoints

  • Direct secure messaging: lhardison@direct.uspi.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1407084155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399104",
            "telephone_number": "405-323-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-323-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13301 N Meridian Ave Ste 701",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208357",
            "country_code": "US",
            "telephone_number": "405-751-6153",
            "fax_number": "405-752-5158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "LANCE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.