John T Hardy M.D. P.C

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

30618 Issued in CO

Legal business name

JOHN T HARDY M.D. P.C

Practice address

1115 N Grand Ave
Pueblo, CO 81003-2867

Phone

(719) 583-4232

Fax

(719) 562-4415

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Tucker Hardy, M.D.NPI 1619032182

Title

Physician

Phone

(719) 583-4232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Tucker Hardy, MD

  • Psychiatry Physician
  • Pueblo, CO
  • NPI 1619032182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1962630939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032867",
            "telephone_number": "719-583-4232",
            "fax_number": "719-562-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032867",
            "telephone_number": "719-583-4232",
            "fax_number": "719-562-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T HARDY M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "719-583-4232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "30618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-306182",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JKLR Ministries, LLC
• Jodell C Sams Crnfa, LLC
• Jodell C Sams Crnfa, LLC
• Jodi Trujillo Psychiatric Nurse Practitioner
• John G Highfill MD Prof LLC
• Jennifer John, MD
• Johnson Home Assisted Living, Inc.
• Amber Johnson, RN
• Bruce Michael Johnson, M.D.
• Cassandra Kim Johnson, LPC

• Community/Behavioral Health Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.