Individual provider Active NPI

Randall Roy Hardison, MD

  • Specialist
  • Chandler, AZ
National Provider Identifier
1720085327
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24564 Issued in AZ
Practice address
2905 W Warner Rd
Ste 19
Chandler, AZ 85224-1674
Phone
(480) 899-2101
Fax
(480) 899-2890
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24564 AZ Primary

Addresses

Primary practice location

2905 W Warner Rd
Ste 19
Chandler, AZ 85224-1674

Mailing address

2905 W Warner Rd
Ste 19
Chandler, AZ 85224-1674
Phone (480) 899-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040617001284 AZ Practitioner - Orthopedic Surgery 0840189601

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nevada School of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2905 W Warner Rd
Suite 19
Chandler, AZ 85224-1674

2905 W Warner Rd
Suite 19
Chandler, AZ 85224-2915

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24564AZMDSpecialist

Interoperability endpoints

  • Direct secure messaging: rhardison@direct.uspi.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1720085327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-899-2101",
            "fax_number": "480-899-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-899-2101",
            "fax_number": "480-899-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "RANDALL",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "24564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.