Individual provider Active NPI

Richard Wayne Harmon, MD

  • Family Medicine Physician
  • Opelousas, LA
National Provider Identifier
1124089024
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015046 Issued in LA
Practice address
827 N Union St
Opelousas, LA 70570
Phone
(337) 948-1802
Fax
(337) 942-9074
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015046 LA Primary

Addresses

Primary practice location

827 N Union St
Opelousas, LA 70570

Mailing address

827 N Union St
Opelousas, LA 70570
Phone (337) 948-1802

Other identifiers 1

IdentifierTypeStateIssuer
1301418MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000291 LA Practitioner - Family Practice 7012076458 Reassigns benefits to 1 organization
Practice locations: Opelousas, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015046LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Clxix, LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
CLHG-Acadian LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

827 N Union St
Opelousas, LA 70570
Phone (337) 678-0918

828 Creswell Ln
Opelousas, LA 70570
Phone (337) 942-8088

821 N Union St
Opelousas, LA 70570
Phone (337) 942-8677

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1124089024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-1802",
            "fax_number": "337-942-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-1802",
            "fax_number": "337-942-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "015046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.