Individual provider Active NPI

Julia Hardeman, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1659359628
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35245 Issued in IA
Practice address
3950 South Country Club Suite 130
Uamc South Campus Family Medicine Clinic
Tucson, AZ 85714
Phone
(520) 874-4800
Fax
(520) 874-4824
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35245 IA Primary

Addresses

Primary practice location

3950 South Country Club Suite 130
Uamc South Campus Family Medicine Clinic
Tucson, AZ 85714

Mailing address

3950 South Country Club Suite 130
Uamc South Campus Family Medicine Clinic
Tucson, AZ 85714
Phone (520) 874-4800

Other identifiers 1

IdentifierTypeStateIssuer
0455337MedicaidIA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000497 TX Practitioner - Family Practice 8325142680 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Sep 14, 2015 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Sep 14, 2015 Accepting new patients
Ton San Simon Health Center CurrentSince Sep 14, 2015 Accepting new patients
Ton Sells Hospital CurrentSince Sep 14, 2015 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
DHHS PHS Naihs Kayenta Health Center Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1659359628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SOUTH COUNTRY CLUB SUITE 130",
            "address_2": "UAMC SOUTH CAMPUS FAMILY MEDICINE CLINIC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-874-4800",
            "fax_number": "520-874-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SOUTH COUNTRY CLUB SUITE 130",
            "address_2": "UAMC SOUTH CAMPUS FAMILY MEDICINE CLINIC",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-874-4800",
            "fax_number": "520-874-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEMAN",
        "first_name": "JULIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455337",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.