Active NPI
Christina Anne Hardaway, MD
- Dermatology Physician
- Port Orchard, WA
National Provider Identifier
1750357802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD16068
- Practice address
- 450 S Kitsap Blvd Ste 250
Port Orchard, WA 98366-3739 - Phone
- (360) 782-3000
- Fax
- (360) 782-3040
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD16068 | HI | Primary |
Addresses
Primary practice location
450 S Kitsap Blvd Ste 250
Port Orchard, WA 98366-3739
Mailing address
9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502
Phone (360) 782-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8447484 | Medicaid | WA | |
| 8820HA | Other | WA | REGENCE BLUE SHIELD |
| 7715778 | Other | WA | AETNA |
| 206839 | Other | WA | LABOR & INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 S Meridian
Suite 101
Puyallup, WA 98371-7590
Phone (253) 848-3000
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- St Joseph Medical Center
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 37 |
| Removal of skin lesions | 515 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 44 |
| Skin biopsy | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16068 | HI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Eye & Skin Centers PC | Dermatology | Current | Accepting new patients |
| Cascade Eye & Skin Centers P.C. | Dermatology | Current | Accepting new patients |
Locations
205 10th St NE
Ste 119
Auburn, WA 98002
Phone (253) 939-7911
4907 Point Fosdick Dr
Ste E700
Gig Harbor, WA 98335
1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708
5225 Cirque Dr W
University Place, WA 98467
Phone (253) 564-3365
Organizations & group practices 2
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1750357802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838502",
"telephone_number": "360-782-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S KITSAP BLVD STE 250",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663739",
"telephone_number": "360-782-3000",
"fax_number": "360-782-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDAWAY",
"first_name": "CHRISTINA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "HI",
"license": "MD16068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8447484",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "8820HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7715778",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "206839",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.