Organization Active NPI

Harvey a Pearl DPM PA

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1013312024
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HARVEY A PEARL DPM PA
Practice address
2324 University Blvd W
Jacksonville, FL 32217-2021
Phone
(904) 737-4166
Fax
(904) 737-4322
NPI assigned
Nov 3, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mr. Harvey A Pearl, DPM PANPI 1376548552
Title
Owner / President
Phone
(904) 737-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

2324 University Blvd W
Jacksonville, FL 32217-2021

Mailing address

2324 University Blvd W
Jacksonville, FL 32217-2021
Phone (904) 737-4166

Other identifiers 1

IdentifierTypeStateIssuer
041275900MedicaidFL

National Provider Directory

National Provider Directory

Locations

2324 University Blvd W
Jacksonville, FL 32217
Phone (904) 737-4166

3627 University Blvd S
Ste 545
Jacksonville, FL 32216
Phone (904) 391-1206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1013312024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172021",
            "telephone_number": "904-737-4166",
            "fax_number": "904-737-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172021",
            "telephone_number": "904-737-4166",
            "fax_number": "904-737-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY A PEARL DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "904-737-4166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM PA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041275900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.