NPIMap

Individual provider Active NPI

Harold Huntley Hardison, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Philadelphia, PA
National Provider Identifier
1780621466
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD027761E Issued in PA
Practice address
St. Christopher's Pediatric Neurology
3601 A Street
Philadelphia, PA 19134-1095
Phone
(215) 427-5470
Fax
(215) 427-4393
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD027761E PA Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA04877900 NJ

Addresses

Primary practice location

St. Christopher's Pediatric Neurology
3601 A Street
Philadelphia, PA 19134-1095

Mailing address

St. Christopher's Pediatric Neurology
3601 A Street
Philadelphia, PA 19134-1095
Phone (215) 427-5470

Other identifiers 1

IdentifierTypeStateIssuer
0010073830020MedicaidPA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quentin N Burdick Comprehensive Health Care Facility Past Accepting new patients
Apple Drugs Inc Past Accepting new patients
Drexel University Past Accepting new patients

Organizations & group practices 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1780621466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. CHRISTOPHER'S PEDIATRIC NEUROLOGY",
            "address_2": "3601 A STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341095",
            "telephone_number": "215-427-5470",
            "fax_number": "215-427-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. CHRISTOPHER'S PEDIATRIC NEUROLOGY",
            "address_2": "3601 A STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341095",
            "telephone_number": "215-427-5470",
            "fax_number": "215-427-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "HAROLD",
        "middle_name": "HUNTLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD027761E",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA04877900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010073830020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.