Active NPI
Matthew Edward Hardy, M.D.
- Surgery Physician
- Hollywood, FL
National Provider Identifier
1457647778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME122404
- Practice address
- 3800 S Ocean Dr Ste 209
Hollywood, FL 33019 - Phone
- (305) 466-9988
- Fax
- (305) 466-9989
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME122404 | FL | Primary |
Addresses
Primary practice location
3800 S Ocean Dr Ste 209
Hollywood, FL 33019
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
Other practice location 1
289 S Culver St
Lawrenceville, GA 30046-4805
Phone (305) 466-9988
Other practice location 2
3800 S Ocean Dr Ste 209
Hollywood, FL 33019
Phone (305) 466-9988
Other practice location 3
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone (305) 466-9988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077830 | Other | GA | STATE LICENSE |
| 2018-00443 | Other | NC | NC STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1457647778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33019",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
}
],
"practiceLocations": [
{
"address_1": "289 S Culver St",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300464805",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 S Ocean Dr Ste 209",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "33019",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Mine Lake Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276156417",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDY",
"first_name": "MATTHEW",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME122404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "077830",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE LICENSE",
"identifier": "2018-00443",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.