Individual provider Active NPI

David Harker, M.D.

  • MOHS-Micrographic Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1144684069
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
255218 Issued in NC
Practice address
1450 Professional Park Dr Ste 150
Winston Salem, NC 27103-1307
Phone
(336) 724-2434
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
MOHS-Micrographic Surgery Physician 207ND0101X 255218 NC Primary

Addresses

Primary practice location

1450 Professional Park Dr Ste 150
Winston Salem, NC 27103-1307

Mailing address

1870 N Center Street
Dallas, NC 75246-2017
Phone (214) 820-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200615000360 NC Practitioner - Dermatology 2961700133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision251
Removal of skin lesions1091
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255218NCMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Mohs-Micrographic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince Jul 1, 2020 Accepting new patients

Locations

1870 N Center St
Hickory, NC 28601
Phone (828) 322-7546

1899 Tate Blvd SE
Ste 2110
Hickory, NC 28602
Phone (828) 328-4449

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: dharker@directaddress.net
  • Direct secure messaging: david.harker@qdp.emadirect.md

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1144684069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N CENTER STREET",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "752462017",
            "telephone_number": "214-820-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PROFESSIONAL PARK DR STE 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031307",
            "telephone_number": "336-724-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKER",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "255218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.