Active NPI
Michael R Hardy, M.D.
- Urology Physician
- Fairfax, VA
National Provider Identifier
1659353043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101037547
- Practice address
- 3580 Joseph Siewiwck Drive
Suite 401
Fairfax, VA 22033 - Phone
- (703) 698-1856
- Fax
- (703) 207-0843
- NPI assigned
- Nov 19, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101037547 | VA | Primary |
Addresses
Primary practice location
3580 Joseph Siewiwck Drive
Suite 401
Fairfax, VA 22033
Mailing address
3580 Joseph Siewick Dr
Suite 401
Fairfax, VA 22033
Phone (703) 698-1856
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010273340 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037547 | VA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1659353043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 JOSEPH SIEWICK DR",
"address_2": "SUITE 401",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "703-698-1856",
"fax_number": "703-207-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 JOSEPH SIEWIWCK DRIVE",
"address_2": "SUITE 401",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22033",
"telephone_number": "703-698-1856",
"fax_number": "703-207-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101037547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010273340",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.