MEDICARE: DR. THOMAS ROBERT HARDING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	186554	AK
2	2084P0800X	Psychiatry Physician	9701761	NC
3	2084P0800X	Psychiatry Physician	26381020	WI

General Provider Information

NPI Number	:	1194837336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ROBERT HARDING MD

Provider Business Mailing Address
First Line	:	7033 E TUDOR RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1262
Country	:	US
Telephone Number	:	907-729-8901
Fax Number	:	907-729-6353

Provider Business Practice Location Address
First Line	:	4230 COPPER RIDGE DR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-7256
Country	:	US
Telephone Number	:	231-935-6380
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/19/2025

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