NPIMap

Organization Active NPI

Tara Harden M.D., P.a.

  • Surgery Physician
  • Fort Walton Beach, FL
National Provider Identifier
1659770311
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME121048 Issued in FL
Legal business name
TARA HARDEN M.D., P.A.
Practice address
1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267
Phone
(850) 863-0400
Fax
(850) 863-0417
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Tara Harden, M.D.
Title
Owner/Physician
Phone
(850) 863-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME121048 FL Primary

Addresses

Primary practice location

1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267

Mailing address

1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267
Phone (850) 863-0400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1659770311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471267",
            "telephone_number": "850-863-0400",
            "fax_number": "850-863-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471267",
            "telephone_number": "850-863-0400",
            "fax_number": "850-863-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA HARDEN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "850-863-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME121048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.