Individual provider Active NPI

Robert Lynn Harsh, PA-C

  • Medical Physician Assistant
  • Weston, WV
National Provider Identifier
1093042772
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
470 Issued in WV
Practice address
402 Medical Park Dr
Suite 100
Weston, WV 26452-1678
Phone
(304) 269-3929
Fax
(304) 269-3911
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 470 WV Primary

Addresses

Primary practice location

402 Medical Park Dr
Suite 100
Weston, WV 26452-1678

Mailing address

1 Amalia Dr
Suite 100
Buckhannon, WV 26201-2239
Phone (304) 473-2303

Other practice location 1

613 Randolph Ave
Elkins, WV 26241-3950
Phone (304) 636-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000745 WV Practitioner - Physician Assistant 0941481220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stonewall Jackson Memorial Hospital Company CurrentSince Dec 18, 2020 Accepting new patients
St Josephs Hospital of Buckhannon PastSince Dec 23, 2025 Accepting new patients

Locations

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: rharsh21392@gohealthupmc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093042772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "address_2": "SUITE 100",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012239",
            "telephone_number": "304-473-2303",
            "fax_number": "304-473-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MEDICAL PARK DR",
            "address_2": "SUITE 100",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521678",
            "telephone_number": "304-269-3929",
            "fax_number": "304-269-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Randolph Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413950",
            "country_code": "US",
            "telephone_number": "304-636-8422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARSH",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

Verify at the official NPI Registry.