Organization Active NPI

Harder Family Practice PA

  • Family Medicine Physician
  • Augusta, KS
National Provider Identifier
1891730339
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-28837 Issued in KS
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

Updated by the provider on Dec 11, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 05-28837 KS Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3000443620001MedicaidKS
102650OtherKSIND PTAN
17D1008887OtherKSCLIA
1700218914OtherKSMIDLEVEL IND NPI
1891730339OtherKSGRP. NPI
1932166154OtherKSIND. NPI
3000388587001MedicaidKS
102644OtherKSGRP PTAN
1114372083OtherKSMIDLEVEL IND. NPI
1205272259OtherKSMIDLEVEL IND NPI
1902412117OtherKSMIDLEVEL IND. NPI

Other names 1

  • Scott Harder Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1008887Harder Family Practice, PA2820 N Ohio Street, Augusta, KS 67010Provider-performed microscopyJan 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.