Active NPI
Karl Harnish, DO
- Emergency Medicine Physician
- Athens, OH
National Provider Identifier
1104933043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34003814H
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0586790 | Medicaid | OH | |
| 000392700 | Medicaid | FL | |
| 03795 | Other | FL | BLUE 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3814 | OH | MD | Community Health Worker |
| 20A 5228 | CA | MD | Emergency Medicine Physician |
| OS-10241 | FL | MD | Emergency Medicine Physician |
| 1139 | ME | MD | Emergency Medicine Physician |
| 55011-21 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
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-
- Emergency Medicine Physician
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- NPI 1568420735
-
- Emergency Medicine Physician
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.