Individual provider Active NPI

David W Hardey Sr., MD

  • Emergency Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1952345902
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
08095R Issued in LA
Practice address
2963 Bordelon
Lake Charles, LA 70611
Phone
(337) 802-4159
Fax
(337) 855-1743
NPI assigned
Jun 16, 2006
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 08095R LA Primary

Addresses

Primary practice location

2963 Bordelon
Lake Charles, LA 70611

Mailing address

2963 Bordelon
Lake Charles, LA 70611
Phone (337) 802-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050322000281 LA Practitioner - Emergency MedicinePractitioner - Family Practice 7113972241 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08095RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Davis Emergency Group LLC Emergency Medicine CurrentSince Aug 16, 2007 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Nov 30, 2016 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 30, 2015 Accepting new patients
Evangeline Clinical Services, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Nov 30, 2016 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Oct 25, 2016 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Buxton Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Leatherwood Emergency Group, LLC Emergency Medicine CurrentSince Mar 25, 2019 Accepting new patients
Ess Hospitalist LLC CurrentSince Oct 25, 2016 Accepting new patients
Concord North Texas, PLLC Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine Past Accepting new patients
Stat Family Care of Jennings, LLC PastSince Jun 9, 2007 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

110 W 4th St
Dequincy, LA 70633
Phone (337) 363-9470

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Interoperability endpoints

  • Direct secure messaging: daha7287@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1952345902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 BORDELON",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70611",
            "telephone_number": "337-802-4159",
            "fax_number": "337-855-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 BORDELON",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70611",
            "telephone_number": "337-802-4159",
            "fax_number": "337-855-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEY",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "08095R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.