Individual provider Active NPI

Karen Harlan, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1063411791
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35044502 Issued in OH
Practice address
4623 Wesley Ave
Suite P
Cincinnati, OH 45212-2246
Phone
(513) 841-0777
Fax
(513) 841-0877
NPI assigned
Jul 15, 2005
Last updated
Jul 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35044502 OH Primary

Addresses

Primary practice location

4623 Wesley Ave
Suite P
Cincinnati, OH 45212-2246

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 2

IdentifierTypeStateIssuer
0489903MedicaidOH
000000184870OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20041122001221 OH Practitioner - Family PracticePractitioner - Emergency Medicine 0143285882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35044502OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewel a Stevens MD LLC Family Medicine CurrentSince Aug 15, 2024 Accepting new patients
American Family Care Ohio, LLC CurrentSince Feb 5, 2016 Accepting new patients
Greene Memorial Hospital Services, Inc. Past Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine Past Accepting new patients
Medical Service Associates of Xenia Inc Family Medicine Past Accepting new patients
Premier Integrated Medical Assoc LTD Family Medicine Past Accepting new patients

Locations

3802 Paxton Ave
Ste 1
Cincinnati, OH 45209
Phone (513) 559-9700

300 Business Pkwy
Franklin, OH 45005
Phone (937) 746-2813

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1063411791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 WESLEY AVE",
            "address_2": "SUITE P",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122246",
            "telephone_number": "513-841-0777",
            "fax_number": "513-841-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAN",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35044502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489903",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000184870",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.