Active NPI
Gregory D Hardee, MD
- Obstetrics & Gynecology Physician
- Roanoke, VA
National Provider Identifier
1669567665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101036158
- Practice address
- 102 Highland Ave SE
Suite 455
Roanoke, VA 24013-2256 - Phone
- (540) 985-9910
- Fax
- (540) 985-9916
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101036158 | VA | Primary |
Addresses
Primary practice location
102 Highland Ave SE
Suite 455
Roanoke, VA 24013-2256
Mailing address
102Highland Ave SE
Suite 455
Roanoke, VA 24013
Phone (540) 985-9910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0338563 | Other | VA | ANTHEM |
| 006252800 | 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 |
|---|---|---|---|
| 0101036158 | VA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1669567665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102HIGHLAND AVE SE",
"address_2": "SUITE 455",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24013",
"telephone_number": "540-985-9910",
"fax_number": "540-985-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HIGHLAND AVE SE",
"address_2": "SUITE 455",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132256",
"telephone_number": "540-985-9910",
"fax_number": "540-985-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEE",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101036158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0338563",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006252800",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.