NPIMap

Individual provider Active NPI

R Michael Harding, MD

  • Emergency Medicine Physician
  • Roseburg, OR
National Provider Identifier
1780616243
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD13593 Issued in OR
Practice address
209 Cedar Tree Dr
Roseburg, OR 97471-9370
Phone
(541) 430-3958
NPI assigned
Jul 7, 2006
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD54406 AZ
Emergency Medicine Physician 207P00000X MD60807213 WA
Emergency Medicine Physician 207P00000X MD21834 ME
Emergency Medicine Physician 207P00000X MD44724 IA
Emergency Medicine Physician 207P00000X MD13593 OR Primary

Addresses

Primary practice location

209 Cedar Tree Dr
Roseburg, OR 97471-9370

Mailing address

209 Cedar Tree Dr
Roseburg, OR 97471-9370
Phone (541) 430-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061213000613 OR Practitioner - Emergency Medicine 6709885056 Reassigns benefits to 1 organization
I20100512000300 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6709885056 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD54406AZMDEmergency Medicine Physician
MD44724IAMDEmergency Medicine Physician
MD21834MEMDEmergency Medicine Physician
MD13593ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Aug 30, 2014 Accepting new patients
Harney District Hospital Current Accepting new patients
DHHS IHS Phoenix Area Emergency Medicine CurrentSince Feb 16, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 8, 2019 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 8, 2019 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 11, 2014 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 11, 2014 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 30, 2014 Accepting new patients
Harney District Hospital CurrentSince May 1, 2021 Accepting new patients
Wild Rivers Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

Interoperability endpoints

  • Direct secure messaging: rharding128164@secure.stcharleshealthcare.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1780616243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CEDAR TREE DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719370",
            "telephone_number": "541-430-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CEDAR TREE DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719370",
            "telephone_number": "541-430-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "R",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "MD54406",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60807213",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD21834",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD44724",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD13593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.