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MICHAEL D HARDESTY PA-C NPI 1912035999


NPI Information

NPI: 1912035999
Provider Name: MICHAEL D HARDESTY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1055 N CURTIS RD
BOISE, ID
ZIP 83706
Phone: (208) 367-8855
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Michael D Hardesty, PA-C is a surgical physician assistant in Boise, ID with 15 years of experience. Michael D Hardesty, PA-C NPI is 1912035999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-309
Phone: (208) 367-8855
Fax: (208) 954-8073

The NPI 1912035999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 3/1/2007 and was last updated on 12/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic TrainerAT-283IDAHONo
2363AS0400XPhysician AssistantSurgicalC04084MARYLANDNo
3363AS0400XPhysician AssistantSurgicalPA-903IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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