Jason Lamarr Hardin (NPI# 1932675758, PAC ID# 2264762012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932675758 |
| PAC ID by PECOS | 2264762012 |
| Professional Enrollment ID | I20190923000809 |
| Full Name | Jason Lamarr Hardin |
| Organization Legal Name | AMITY MEDICAL GROUP INC |
| Address |
6010 E Wt Harris Blvd Charlotte NC 28215-4084 |
| Phone Number | 7042084134 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618205980 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 | 7042084134 | AMITY MEDICAL GROUP INC |
| Organization Legal Name | AMITY MEDICAL GROUP INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Kreft | Physician Assistant | Amity Medical Group Inc | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 |
| Pallavkumar Patel | Internal Medicine | Amity Medical Group Inc | 2080 Century Park E, Suite 608, Los Angeles, CA 90807-2009 |
| Lawrence F Peskin | Psychologist, Clinical | Amity Medical Group Inc | 9808 Venice Blvd, Suite 100, Culver City, CA 90232-2732 |
| Sapna Singh Patel | Medical Oncology | Amity Medical Group Inc | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 |
| Aimee C Martinez | Psychologist, Clinical | Amity Medical Group Inc | 2080 Century Park E, Suite 608, Los Angeles, CA 90807-2009 |
| Bishoy G Kamel | Internal Medicine | Amity Medical Group Inc | 2080 Century Park E, Suite 608, Los Angeles, CA 90807-2009 |
| Street Address |
6010 E WT HARRIS BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28215-4084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Kreft | Physician Assistant | Amity Medical Group Inc | 6010 E Wt Harris Blvd, Charlotte, NC 28215-4084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabina C Benel | Nurse Practitioner | 5252 B N Sharon Amity Rd, Charlotte, NC 28215-0053 | |
| Uwadiogbu Odinaka Ejindu | Pediatric Medicine | 7401 The Plz, Charlotte, NC 28215-1925 | |
| Julian Montague Seaton | Nurse Practitioner | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Collins F Fomunung | Nurse Practitioner | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Ugwuala Nwauche | Emergency Medicine | The Mount Zion Medical Clinics Pa | 6608 E W T Harris Blvd A, Charlotte, NC 28215-5128 |
| Mary Jo Klingel | Clinical Social Worker | 6612 E W T Harris Blvd, Suite D, Charlotte, NC 28215-5135 | |
| Mitchell Samonte Montemayor | Physical Therapy | 4116 Swindon Ct, Charlotte, NC 28215-5355 | |
| Harriet Davis | Family Medicine | Novant Medical Group Inc | 8110 Healthcare Loop, Charlotte, NC 28215-7069 |
| Joseph Michael Gentile | Orthopedic Surgery | Novant Medical Group Inc | 8110 Healthcare Loop, Charlotte, NC 28215-7069 |
| Telly A Meadows | Interventional Cardiology | Novant Medical Group Inc | 8201 Healthcare Loop, Suite 201, Charlotte, NC 28215-7072 |
| Find all physicians in zip 28215 | |||
| City | CHARLOTTE |
| Zip Code | 28215 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLOTTE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.