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John Conor Hardeman

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

401 Lowell Dr SE, Huntsville, AL 35801-3748

PECOS Enrollment

This provider is enrolled in PECOS as JOHN HARDEMAN.

Based on the most recent information from CMS, provider John Conor Hardeman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1558598771
Provider Type
Individual
Full Name
Hardeman, John Conor
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/15/2009
Last Updated
9/12/2024

Contact Information

Practice Location

401 Lowell Dr SE, Huntsville, AL 35801-3748

(256) 265-4462

Unlisted Fax

Mailing Location

1514 Jefferson Hwy, New Orleans, LA 70121-2429

(504) 842-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 30784 Alabama
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 305351 Louisiana

John Conor Hardeman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Fiore, Joseph A

Cardwell, Robin B.

Light, James R

Gilliam, Lynda C

Kakani, Krishna K

Shakar, Thomas James

Leon W. Lewis M.D., P.C.

Robinson, Yashica

Lewis, Leon Wrensford

Raiford, Karen G