Provider Demographics
NPI:1689630329
Name:HARD, WESLEY FRANK (MD)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:FRANK
Last Name:HARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MURRAY HILL RD
Mailing Address - Street 2:PO BOX 28144
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228
Mailing Address - Country:US
Mailing Address - Phone:614-878-4541
Mailing Address - Fax:614-878-6228
Practice Address - Street 1:100 N MURRAY HILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-878-4541
Practice Address - Fax:614-878-6228
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2017-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047888207QA0401X, 2084A0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0527148Medicaid
A80597Medicare UPIN
OH0527148Medicaid