Active NPI
Harder Family Practice PA
- Family Medicine Physician
- Augusta, KS
National Provider Identifier
1891730339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-28837
- Legal business name
- HARDER FAMILY PRACTICE PA
- Practice address
- 2820 Ohio St
Augusta, KS 67010-2361 - Phone
- (316) 775-7500
- Fax
- (316) 775-3685
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin Kay Hoefgen
- Title
- Office Manager
- Phone
- (316) 775-7500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-28837 | KS | Primary |
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2820 Ohio St
Augusta, KS 67010-2361
Mailing address
2820 Ohio St
Augusta, KS 67010-2361
Phone (316) 775-7500
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000443620001 | Medicaid | KS | |
| 102650 | Other | KS | IND PTAN |
| 17D1008887 | Other | KS | CLIA |
| 1700218914 | Other | KS | MIDLEVEL IND NPI |
| 1891730339 | Other | KS | GRP. NPI |
| 1932166154 | Other | KS | IND. NPI |
| 3000388587001 | Medicaid | KS | |
| 102644 | Other | KS | GRP PTAN |
| 1114372083 | Other | KS | MIDLEVEL IND. NPI |
| 1205272259 | Other | KS | MIDLEVEL IND NPI |
| 1902412117 | Other | KS | MIDLEVEL IND. NPI |
Other names 1
- Scott Harder
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@harderfamilypractice.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000741 | KS | Part B Supplier - Clinic/Group Practice | 4183698756 |
Receives reassigned benefits from 5 practitioners Practice locations: Augusta, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1008887 | Harder Family Practice, PA | Provider-performed microscopy | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
2820 Ohio St
Augusta, KS 67010
Phone (316) 775-7500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1891730339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 OHIO ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670102361",
"telephone_number": "316-775-7500",
"fax_number": "316-775-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 OHIO ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670102361",
"telephone_number": "316-775-7500",
"fax_number": "316-775-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARDER FAMILY PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "HOEFGEN",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "316-775-7500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "05-28837",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000443620001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND PTAN",
"identifier": "102650",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "17D1008887",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLEVEL IND NPI",
"identifier": "1700218914",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP. NPI",
"identifier": "1891730339",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. NPI",
"identifier": "1932166154",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000388587001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP PTAN",
"identifier": "102644",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLEVEL IND. NPI",
"identifier": "1114372083",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLEVEL IND NPI",
"identifier": "1205272259",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLEVEL IND. NPI",
"identifier": "1902412117",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@harderfamilypractice.com",
"affiliation": "N",
"endpointDescription": "emds",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2820 Ohio St",
"city": "Augusta",
"state": "KS",
"country_code": "US",
"postal_code": "670102361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Scott Harder",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.