Active NPI
Virginia C Hardie, MD
- Pain Medicine (Anesthesiology) Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 18489
- Practice address
- 1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833 - Phone
- (702) 982-1300
- Fax
- (702) 728-5661
- NPI assigned
- Jun 27, 2008
- Last updated
- Mar 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25955 | NE | |
| Surgery Physician | 208600000X | 5839 | NE | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 18489 | NV | Primary |
Addresses
Primary practice location
1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833
Mailing address
1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833
Phone (702) 982-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18489 | NV | MD | Pharmacist |
| 25955 | NE | MD | Anesthesiology Physician |
| 5839 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fabito Anesthesia & Pain Specialists PC | Anesthesiology | Current | Accepting new patients |
| SHM Management, LLC | Pain Medicine | Current | Accepting new patients |
Locations
1000 N Green Valley Pkwy
#440533
Henderson, NV 89074
1748 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 966-2435
2405 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 433-5357
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hardie Injury and Pain Care
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1598626327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1831351196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 W. HORIZON RIDGE PKWY.",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124833",
"telephone_number": "702-982-1300",
"fax_number": "702-728-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 W. HORIZON RIDGE PKWY.",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124833",
"telephone_number": "702-982-1300",
"fax_number": "702-728-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIE",
"first_name": "VIRGINIA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NE",
"license": "25955",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "5839",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NV",
"license": "18489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.