Individual provider Active NPI

Karl Harnish, DO

  • Emergency Medicine Physician
  • Athens, OH
National Provider Identifier
1104933043
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34003814H Issued in OH
Practice address
39 Briarwood Dr
Athens, OH 45701-1302
Phone
(740) 593-8920
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34003814H OH Primary
Emergency Medicine Physician 207P00000X 20A 5228 CA
Emergency Medicine Physician 207P00000X 1139 ME
Emergency Medicine Physician 207P00000X OS-10241 FL
Emergency Medicine Physician 207P00000X 55011-21 WI

Addresses

Primary practice location

39 Briarwood Dr
Athens, OH 45701-1302

Mailing address

39 Briarwood Dr
Athens, OH 45701-1302
Phone (740) 593-8920

Other identifiers 3

IdentifierTypeStateIssuer
0586790MedicaidOH
000392700MedicaidFL
03795OtherFLBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3814OHMDCommunity Health Worker
20A 5228CAMDEmergency Medicine Physician
OS-10241FLMDEmergency Medicine Physician
1139MEMDEmergency Medicine Physician
55011-21WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Emergency Services, LLC Emergency Medicine Past Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine Past Accepting new patients
4MD2 Physician Services of Fort Walton Beach LLC Emergency Medicine Past Accepting new patients
Lake Mary Medical Consulting Inc Emergency Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1104933043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRIARWOOD DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011302",
            "telephone_number": "740-593-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIARWOOD DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011302",
            "telephone_number": "740-593-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNISH",
        "first_name": "KARL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34003814H",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A 5228",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "1139",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS-10241",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "55011-21",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0586790",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000392700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "03795",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.