JOHN T HARDY M.D. P.C (NPI# 1962630939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962630939 |
| Entity Type | Organization |
| Organization Name | JOHN T HARDY M.D. P.C |
| Practice Address |
1115 N Grand Ave Pueblo CO 81003-2867 |
| Practice Telephone | 7195834232 |
| Practice Fax Number | 7195624415 |
| Mailing Telephone | 7195834232 |
| Mailing Fax Number | 7195624415 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | DR. JOHN TUCKER HARDY (PHYSICIAN) |
| Authorized Official Telephone | 7195834232 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 30618 | CO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01-306182 | 05 |
| Street Address |
1115 N GRAND AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306853049 | Judith Ann Wookey | Counselor | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2006-08-02 |
| 1295241677 | Mountain Mind, LLC | Nurse Practitioner | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2017-12-20 |
| 1215377874 | Robert B Goos | Clinic/Center | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2013-06-27 |
| 1003086968 | Dr Jill D Pollock PC | Community/Behavioral Health | 1115 N Grand Ave, Suite 100, Pueblo, CO 81003-2867 | 2008-03-06 |
| 1184833881 | Bonnie Kay Marks | Marriage & Family Therapist | 1115 N Grand Ave, Suite 201, Pueblo, CO 81003-2867 | 2007-05-21 |
| 1619032182 | John Tucker Hardy | Psychiatry & Neurology | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2006-12-26 |
| 1376614784 | Jill D Pollock | Psychologist | 1115 N Grand Ave, Ste 100, Pueblo, CO 81003 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199576 | Friendly Harbor | Community/Behavioral Health | 2713 N Grand Ave, Pueblo, CO 81003-2453 | 2020-03-21 |
| 1023669660 | Daybreak Consultants, P.C. | Community/Behavioral Health | 319 W Hahns Peak Ave, Pueblo, CO 81007-2805 | 2019-09-25 |
| 1164989745 | Steel City Behavioral Health, LLC | Community/Behavioral Health | 3606 Morris Ave Ste 111, Pueblo, CO 81008-1369 | 2019-03-01 |
| 1013431287 | Hope Thru Hooves | Community/Behavioral Health | 25550 Hillside Rd, Pueblo, CO 81006-9787 | 2017-07-31 |
| 1457706483 | Pueblo Diversified Industries, Inc. | Community/Behavioral Health | 2828 Granada Blvd, Pueblo, CO 81005-3104 | 2016-04-27 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1801297478 | Teresa Koppin | Community/Behavioral Health | 421 N Main St Ste 301, Pueblo, CO 81003-3187 | 2014-09-15 |
| 1164775250 | State of Grace | Community/Behavioral Health | 720 N Main St Ste 330, Pueblo, CO 81003-3047 | 2012-10-26 |
| 1669761755 | Oasis Counseling | Community/Behavioral Health | 717 W 29th St, Pueblo, CO 81008-1176 | 2011-03-30 |
| 1962647685 | Bridge To Awareness Counseling Center | Community/Behavioral Health | 310 W C St, Pueblo, CO 81003-3409 | 2008-12-09 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.