Mary Eleanor Harkleroad, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45808 Issued in KY

Practice address

411 S L Rogers Wells Blvd
Glasgow, KY 42141-1191

Phone

(270) 651-7796

Fax

(270) 651-7796

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15020/brand/9/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment NPD
• Glasgow Urgent Clinic, Inc

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1922092642
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Glasgow Urgent Clinic Inc

  • Rural Health Clinic/Center
  • Glasgow, KY
  • NPI 1376537654

  Family Medicine

  NPD
• Evans Emergency Group LLC

  • Emergency Medicine Physician
  • Claxton, GA
  • NPI 1295794220
  NPD (past)
• Leitchfield Primary Care PLLC

  • Family Medicine Physician
  • Tell City, IN
  • NPI 1508117334
  NPD (past)
• Liberty Emergency Group LLC

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1073581682
  NPD (past)
• McCabe Medical Group LLC

  • Emergency Medicine Physician
  • Springfield, GA
  • NPI 1710069083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1003879586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411191",
            "telephone_number": "270-651-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411191",
            "telephone_number": "270-651-7796",
            "fax_number": "270-651-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "800-893-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKLEROAD",
        "first_name": "MARY",
        "middle_name": "ELEANOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "45808",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053748",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100220570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Feras Hamadeh, MD
• Julie Hamilton
• Leah Hammer
• Tammie Michelle Haney, H.I.S
• Gabriell Hargis
• Kara Morgan Harris, LCCP
• Ayden Cole Harrison
• Cristal Mae Harrison
• Hatchett Home Medical Equipment Inc
• Torie A Hatton, APRN

• Family Medicine Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.