Organization Active NPI

Eugene D Harasym MD

  • Family Medicine Physician
  • Moscow, PA
National Provider Identifier
1093921553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD021509E Issued in PA
Legal business name
EUGENE D HARASYM MD
Practice address
RR 6 Box 6239
Moscow, PA 18444-9400
Phone
(570) 945-7347
Fax
(570) 945-5911
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eugene Daniel Harasym, MD
Title
Owner
Phone
(570) 945-7347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD021509E PA Primary

Addresses

Primary practice location

RR 6 Box 6239
Moscow, PA 18444-9400

Mailing address

RR 6 Box 6239
Moscow, PA 18444-9400
Phone (570) 945-7347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093921553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 6239",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449400",
            "telephone_number": "570-945-7347",
            "fax_number": "570-945-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 6239",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449400",
            "telephone_number": "570-945-7347",
            "fax_number": "570-945-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE D HARASYM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARASYM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-945-7347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD021509E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.