Scott Russel Hardy (NPI# 1750329629, PAC ID# 7810994779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750329629 |
| PAC ID by PECOS | 7810994779 |
| Professional Enrollment ID | I20061107000265 |
| Full Name | Scott Russel Hardy |
| Organization Legal Name | MADISON CO MEMORIAL HOSPITAL |
| Address |
37 S 2nd Rexburg ID 83440-1906 |
| Phone Number | 2083560234 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8123016367 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130025 | MADISON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 37 S 2nd, Rexburg, ID 83440-1906 | 2083560234 | MADISON CO MEMORIAL HOSPITAL |
| 37 S 2nd, Rexburg, ID 83440-1906 | SEASONS MEDICAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | MADISON CO MEMORIAL HOSPITAL |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Steven H Lofgran | Internal Medicine | Madison Co Memorial Hospital | 37 S 2nd, Rexburg, ID 83440-1906 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Brian P Beesley | General Practice | Madison Co Memorial Hospital | 37 S 2nd, Rexburg, ID 83440-1906 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Street Address |
37 S 2ND |
| City | REXBURG |
| State | ID |
| Zip | 83440-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven H Lofgran | Internal Medicine | Madison Co Memorial Hospital | 37 S 2nd, Rexburg, ID 83440-1906 |
| Brian P Beesley | General Practice | Madison Co Memorial Hospital | 37 S 2nd, Rexburg, ID 83440-1906 |
| Linda R Webster | Nurse Practitioner | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Marie Horne | Certified Nurse Midwife (cnm) | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Cameron J Codd | Obstetrics/gynecology | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Robert E Meredith | Obstetrics/gynecology | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Travis J Weiszhaar | Physician Assistant | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Gary Sena | Physician Assistant | Seasons Medical Pllc | 37 S 2nd, Rexburg, ID 83440-1906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | REXBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Scott Russel Hardy.
| 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.