Individual provider Active NPI

James Leroy Hardy, PA

  • Surgical Physician Assistant
  • Bremerton, WA
National Provider Identifier
1922297001
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60002566 Issued in WA
Practice address
1225 Campbell Way Ste 101
Bremerton, WA 98310-3323
Phone
(360) 479-4203
Fax
(360) 479-7240
NPI assigned
Oct 15, 2007
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60002566 WA Primary

Addresses

Primary practice location

1225 Campbell Way Ste 101
Bremerton, WA 98310-3323

Mailing address

1225 Campbell Way Ste 101
Bremerton, WA 98310-3323
Phone (360) 479-4203

Other identifiers 2

IdentifierTypeStateIssuer
374005OtherWALABOR & INDUSTRIES
1093191MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000668 WA Practitioner - Physician Assistant 2062502073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

1225 Campbell Way
Ste 101
Bremerton, WA 98310
Phone (360) 479-4203

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: jhardy176312@fhsce.catholichealth.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1922297001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-4203",
            "fax_number": "360-479-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-4203",
            "fax_number": "360-479-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JAMES",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60002566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "374005",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093191",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.