Individual provider Active NPI

Edward M Harding, MD

  • Family Medicine Physician
  • Pahrump, NV
National Provider Identifier
1871556415
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11587 Issued in NV
Practice address
360 S Lola LN BLDG B
Pahrump, NV 89048
Phone
(775) 505-0810
Fax
(775) 505-0811
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11587 NV Primary

Addresses

Primary practice location

360 S Lola LN BLDG B
Pahrump, NV 89048

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other identifiers 1

IdentifierTypeStateIssuer
1871556415MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20051123000551 NV Practitioner - Family Practice 3779550538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 239
Henderson, NV 89074-7704
Phone (702) 844-4841

Hospital & facility affiliations

  • Physicians Choice Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297107
  • Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
  • Meadows Home Health Services LLC Home health agency, Las Vegas, NV, CCN 297176
  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Family Medicine CurrentSince Oct 23, 2018 Accepting new patients
First Choice Community Health Centers General Practice Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
P3 Health Partners Professional Services PC Family Medicine Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

9280 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 256-1600

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Interoperability endpoints

  • Direct secure messaging: edward.harding.1@17520.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 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1871556415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S LOLA LN BLDG B",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-505-0810",
            "fax_number": "775-505-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871556415",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.