John Wesley Hariadi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-10569 Issued in HI

Practice address

4200 Wilson Blvd
Suite 950
Arlington, VA 22203-1800

Phone

(202) 493-1226

Fax

(202) 443-1739

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1508841529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WILSON BLVD",
            "address_2": "SUITE 950",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031800",
            "telephone_number": "202-493-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WILSON BLVD",
            "address_2": "SUITE 950",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031800",
            "telephone_number": "202-493-1226",
            "fax_number": "202-443-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIADI",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-10569",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "AL",
            "license": "00024831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madina Haque, M.D.
• Hannah Renee Harder, DPT
• Jessica Leigh Hardesty, M.D.
• Marjorie A. Harelick, M.D.
• Abdul K Hares, MD
• Emily Harmon, DPT
• Harold E. Bondy MD PC
• Dillon Andrew Harrington, ATC
• Joy K Harrington, PSYD
• Michael John Harrington, ATC LAT CES DN

• Family Medicine Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.