| Harder Family Practice,pa | |
|
2820 Ohio St Augusta KS 67010-2361 | |
| (316) 775-7500 | |
| (316) 775-3685 |
| Full Name | Harder Family Practice,pa |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2820 Ohio St, Augusta, Kansas |
| Authorized Official Name and Position | Scott N Harder (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3167757500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harder Family Practice,pa 2820 Ohio St Augusta KS 67010-2361 Ph: (316) 775-7500 | Harder Family Practice,pa 2820 Ohio St Augusta KS 67010-2361 Ph: (316) 775-7500 |
| NPI Number | 1891730339 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 4183698756 |
|---|---|
| Medicare Enrollment ID | O20040820000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891730339 | NPI | - | NPPES |
| 17D1008887 | Other | KS | CLIA |
| 201308970A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-28837 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Scott N Harder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932166154 PECOS PAC ID: 9537133004 Enrollment ID: I20050711000234 |
| Provider Name | Lisa A Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205272259 PECOS PAC ID: 8628210473 Enrollment ID: I20140305001569 |
| Provider Name | Abigail L Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218914 PECOS PAC ID: 1658503370 Enrollment ID: I20140411001309 |
| Provider Name | Virginia K Hoefgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114372083 PECOS PAC ID: 1951694587 Enrollment ID: I20160720000824 |
| Provider Name | Davina I Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902412117 PECOS PAC ID: 9133548357 Enrollment ID: I20201007001293 |
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