Individual provider Active NPI

David G Harden, DO

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1831180165
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102049868 Issued in VA
Practice address
3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone
(540) 443-7180
Fax
(540) 443-7182
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102-049868 VA
Family Medicine Physician 207Q00000X 0102049868 VA Primary

Addresses

Primary practice location

3700 S Main St
Suite a
Blacksburg, VA 24060-7017

Mailing address

3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone (540) 443-7180

Other identifiers 2

IdentifierTypeStateIssuer
5684093OtherVAAETNA
309758OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041021000205 VA Practitioner - Osteopathic Manipulative Medicine 6305807595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Primary Care AssociatesGroup PAC ID 3678571866, 10 clinicians

Practice addresses (Care Compare)

1691 Innovation Dr
Suite 2100
Blacksburg, VA 24060-6618
Phone (540) 232-8405

Hospital & facility affiliations

  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102-049868VAMDFamily Medicine Physician
0102049868VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Primary Care Associates Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Academic Primary Care Associates Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
University Geriatrics LLC Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

1691 Innovation Dr
Ste 2100
Blacksburg, VA 24060
Phone (540) 232-8405

3700 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 443-7180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26460/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.harden.1@26460.direct.athenahealth.com

Organizations & group practices 4

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 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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1831180165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7180",
            "fax_number": "540-443-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7180",
            "fax_number": "540-443-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102-049868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102049868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5684093",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "309758",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.