Active NPI
Jeffrey Lewis Harsch, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lee'S Summit, MO
National Provider Identifier
1124076468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MO 498
- Practice address
- 1300 N E Windsor Drive
Lee'S Summit, MO 64086-8477 - Phone
- (816) 525-2405
- Fax
- (816) 525-5559
- NPI assigned
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MO 498 | MO | Primary |
Addresses
Primary practice location
1300 N E Windsor Drive
Lee'S Summit, MO 64086-8477
Mailing address
1300 N.E. Windsor Dr.
Lee'S Summit, MO 64086-8477
Phone (816) 525-2405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10134016 | Other | MO | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
| 301869103 | Medicaid | MO | |
| P00315777 | Other | MO | PALMETTO GBA-RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000207 | MO | Practitioner - Podiatry | 7719909803 | Practice locations: Lees Summit, MO; Raymore, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO 498 | MO | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1124076468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N.E. WINDSOR DR.",
"city": "LEE'S SUMMIT",
"state": "MO",
"postal_code": "640868477",
"telephone_number": "816-525-2405",
"fax_number": "816-525-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N E WINDSOR DRIVE",
"city": "LEE'S SUMMIT",
"state": "MO",
"postal_code": "640868477",
"telephone_number": "816-525-2405",
"fax_number": "816-525-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSCH",
"first_name": "JEFFREY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "MO 498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
"identifier": "10134016",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301869103",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RAILROAD MEDICARE",
"identifier": "P00315777",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lee'S Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.