Physician Compare National (NPI:1053335794)

HEALTHCARE PROVIDER: JAMES W HARDACKER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053335794
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456476258
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100916001215
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARDACKER
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	THE SPINE INSTITUTE PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4284664517
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	13431 OLD MERIDIAN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	CARMEL
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460321498
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3175737733
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150157
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST. VINCENT CARMEL HOSPITAL, INC.
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150161
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INDIANA UNIVERSITY HEALTH NORTH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150010
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST. JOSEPH HOSPITAL & HEALTH CENTER, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	151300
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY HOSPITAL OF BREMEN INC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y