Active NPI
Harvey a Pearl DPM PA
- Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Harvey A Pearl, DPM PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041275900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Jacksonville, FL
- NPI 1376548552
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.