MEDICARE: DR. SCOTT N HARDER D.O.

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	207Q00000X	Family Medicine Physician	0528837	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	102650	OTHER	KS	IND. PTAN

General Provider Information

NPI Number	:	1932166154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT N HARDER D.O.

Provider Business Mailing Address
First Line	:	2820 OHIO ST
Second Line	:
City	:	AUGUSTA
State	:	KS
Zip	:	67010-2361
Country	:	US
Telephone Number	:	316-775-7500
Fax Number	:	316-775-3685

Provider Business Practice Location Address
First Line	:	2820 OHIO ST
Second Line	:
City	:	AUGUSTA
State	:	KS
Zip	:	67010-2361
Country	:	US
Telephone Number	:	316-775-7500
Fax Number	:	316-775-3685

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	12/09/2024

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