Individual provider Active NPI

Harry F Jasmin, M.D

  • Specialist
  • Covington, LA
National Provider Identifier
1073678769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200145 Issued in LA
Practice address
2101 N Highway 190
Suite 103
Covington, LA 70433-8975
Phone
(985) 809-5290
Fax
(985) 875-1275
NPI assigned
Dec 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200145 LA Primary

Addresses

Primary practice location

2101 N Highway 190
Suite 103
Covington, LA 70433-8975

Mailing address

1960 W Ridge Dr
Mandeville, LA 70448-1039
Phone (985) 727-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050804000782 LA Practitioner - Internal MedicinePractitioner - Preventive Medicine 2365471935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5001 Hwy 190 E Service Rd
Suite A1
Covington, LA 70433-4998
Phone (985) 809-5290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200145LAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Harry F Jasmin MD LLC Specialist CurrentSince Jun 20, 2005 Accepting new patients
Healing Health Center of Hammond L.L.C. PastSince Dec 12, 2014 Accepting new patients

Locations

2101 N Highway 190
Ste 103
Covington, LA 70433
Phone (985) 809-5290

5001 Highway 190 East Service Rd
Ste A1
Covington, LA 70433
Phone (985) 809-5290

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073678769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 W RIDGE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481039",
            "telephone_number": "985-727-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N HIGHWAY 190",
            "address_2": "SUITE 103",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338975",
            "telephone_number": "985-809-5290",
            "fax_number": "985-875-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASMIN",
        "first_name": "HARRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "200145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.