Active NPI
Michael R. Harvey Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD26612
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-0111
- NPI assigned
- Jul 24, 2006
- Last updated
- Jun 23, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 24884 | OK | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-32459 | KS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 245137 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD26612 | ME | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (072) 482-7800
Other practice location 1
1923 S. Utica Ave
Tulsa, OK 74104
Phone (918) 744-2553
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013939305 | Medicaid | ME | |
| 200094790A | Medicaid | OK | |
| 200602860C | Medicaid | KS | |
| 200602860A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Georgia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Healthcare Partners PA
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 753-2251
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-32459 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD26612 | ME | MD | Anatomic Pathology & Clinical Pathology Physician |
| 24884 | OK | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, P.a. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Spectrum Healthcare Partners, PA | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
Interoperability endpoints
- mharvey519844@direct.bilh.masshiway.net
Organizations & group practices 3
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 Spectrum Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
NH
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Hospital
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Hospital
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
dba Maine Medical Partners Endocrinlogy & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
Hospital
-
dba MMC Pediatric Urology
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1013939305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266",
"telephone_number": "072-482-7800",
"fax_number": "207-482-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-0111"
}
],
"practiceLocations": [
{
"address_1": "1923 S. Utica Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74104",
"country_code": "US",
"telephone_number": "918-744-2553",
"fax_number": "918-744-3482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARVEY",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "24884",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-32459",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "245137",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "ME",
"license": "MD26612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013939305",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200094790A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200602860C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200602860A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
- 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.