Active NPI
Matthew Duane Harmon, CRNA
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3011691
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 393-1912
- Fax
- (270) 393-1913
- NPI assigned
- Aug 7, 2017
- Last updated
- Sep 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3011691 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
165 Natchez Trace Ave Ste 205
Bowling Green, KY 42103-7947
Phone (270) 393-1912
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1132791 | Other | KY | RN LICENSE |
| 3011691 | Other | KY | APRN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (888) 851-4642
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-1212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Triangle Anesthesia Group PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients |
Locations
1201 N 35th Ave
Hollywood, FL 33021
Phone (321) 403-3991
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Med Center Health Neurology
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
-
- Anesthesiology Physician
- Owensboro, KY
- NPI 1376415596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hazard, KY
- NPI 1124079314
Nurse Anesthetist, Certified Registered
-
dba Med Center Health Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
dba Med Center Health Orthopaedics & Sports Medicine
- Orthopaedic Surgery Physician
- Bowling Green, KY
- NPI 1457759540
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1013432434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 NATCHEZ TRACE AVE STE 205",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421037947",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "MATTHEW",
"middle_name": "DUANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3011691",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "1132791",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "3011691",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.