Active NPI
Gary Randall Hardee, M.D.
- Family Medicine Physician
- Dimmitt, TX
National Provider Identifier
1841384690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F9533
- Practice address
- 300 W Halsell St
Dimmitt, TX 79027-1846 - Phone
- (806) 647-2194
- Fax
- (806) 647-3769
- NPI assigned
- Oct 3, 2006
- Last updated
- Jan 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F9533 | TX | Primary |
Addresses
Primary practice location
300 W Halsell St
Dimmitt, TX 79027-1846
Mailing address
300 W Halsell St
Dimmitt, TX 79027-1846
Phone (806) 647-2194
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 458679 | Other | TX | MEDICARE GROUP |
| 130796901 | Medicaid | TX | |
| 114547102 | Other | TX | FIRSTCARE |
| 00GE14 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070206000549 | TX | Practitioner - Family Practice | 1153323076 | Practice locations: Dimmitt, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honor Services,Inc. | Past | Accepting new patients | |
| Cambridge LTC Partners, Inc. | Past | Accepting new patients |
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.
-
- Skilled Nursing Facility
- Dimmitt, TX
- NPI 1205017472
-
dba Palo Duro Nursing and Rehabilitation
- Nursing Facility/Intermediate Care Facility
- Amarillo, TX
- NPI 1124050349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1841384690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HALSELL ST",
"city": "DIMMITT",
"state": "TX",
"postal_code": "790271846",
"telephone_number": "806-647-2194",
"fax_number": "806-647-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HALSELL ST",
"city": "DIMMITT",
"state": "TX",
"postal_code": "790271846",
"telephone_number": "806-647-2194",
"fax_number": "806-647-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEE",
"first_name": "GARY",
"middle_name": "RANDALL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F9533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "458679",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130796901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "114547102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00GE14",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dimmitt, TX
- Castro County Hospital District (Medical Center of Dimmitt)
- Castro County Hospital District (Plains Memorial Hospital)
- Dimmitt Dental
- Dimmitt Nursing and Rehabilitation LP
- Alex Jr Escobal, NP-C
- Susan Murray Hochstein, NP-C
- Honor Services,Inc. (Dimmitt Nursing and Rehabilitation)
- Kyaw Thu Htun, DMD
- Timothy Brian Jones, M.D.
- Rita Del McDaniel, RN, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.