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NPI Code Detail

MEDICARE: STEVEN R HARDAGE MD

MEDICARE: STEVEN R HARDAGE 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
1207QS0010XSports Medicine (Family Medicine) Physician22569OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518967561
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN R HARDAGE MD
Provider Business Mailing Address
First Line : 2488 E 81ST ST STE 290
Second Line :
City : TULSA
State : OK
Zip : 74137-4299
Country : US
Telephone Number : 918-494-2665
Fax Number : 918-927-3193
Provider Business Practice Location Address
First Line : 1071 W BLUE STARR DR STE 105
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-2869
Country : US
Telephone Number : 918-341-0600
Fax Number : 918-341-0604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 01/11/2026

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