Individual provider Active NPI

George E Hardy, M.D

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1679790059
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD12939 Issued in RI
Practice address
650 Branch Ave Ste 6
Providence, RI 02904-1728
Phone
(401) 233-5055
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD12939 RI
Internal Medicine Physician 207R00000X MD12939 RI Primary

Addresses

Primary practice location

650 Branch Ave Ste 6
Providence, RI 02904-1728

Mailing address

276 Norwood Ave
Cranston, RI 02905-2712

Other practice location 1

712 Broad St
Providence, RI 02907-1465
Phone (401) 233-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20101213000953 RI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4486841780 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - Ri Physicians Group, PC Internal Medicine CurrentSince Aug 19, 2019 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

712 Broad St
Providence, RI 02907
Phone (401) 233-5060

650 Branch Ave
Ste 6
Providence, RI 02904
Phone (401) 233-5055

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

Interoperability endpoints

  • Direct secure messaging: george.hardy@954568341323780.direct.elationemr.com

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1679790059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NORWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029052712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BRANCH AVE STE 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041728",
            "telephone_number": "401-233-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Broad St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029071465",
            "country_code": "US",
            "telephone_number": "401-233-5060",
            "fax_number": "401-793-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD12939",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD12939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.