Angela R Hardy (NPI# 1083048474, PAC ID# 0648494070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083048474 |
| PAC ID by PECOS | 0648494070 |
| Professional Enrollment ID | I20141203002633 |
| Full Name | Angela R Hardy |
| Organization Legal Name | DR. DIRK LLC |
| Address |
3363 Ragged Ridge Rd Frankfort OH 45628-9551 |
| Phone Number | 7409982948 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880862796 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361331 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 | 7409982948 | DR. DIRK LLC |
| Organization Legal Name | DR. DIRK LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Burton | Physician Assistant | Dr. Dirk LLC | 555 N Glenn Ave, Washington Court House, OH 43160-2711 |
| Kimberley Tolle | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| Dirk N Juschka | Geriatric Medicine | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Robert E Albright Jr. | Neurology | Dr. Dirk LLC | 1460 Ludlow Rd, Xenia, OH 45385-7900 |
| Mark A Crager | Physician Assistant | Dr. Dirk LLC | 580 E Washington St, Sabina, OH 45169-1253 |
| Street Address |
3363 RAGGED RIDGE RD |
| City | FRANKFORT |
| State | OH |
| Zip | 45628-9551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley Tolle | Nurse Practitioner | Dr. Dirk LLC | 3363 Ragged Ridge Rd, Frankfort, OH 45628-9551 |
| City | FRANKFORT |
| Zip Code | 45628 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRANKFORT + 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.