Individual provider Active NPI

Ralph A Harvey, MD

  • Family Medicine Physician
  • East Lansing, MI
National Provider Identifier
1174644199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RH3661281 Issued in MI
Practice address
2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone
(517) 333-4600
Fax
(517) 333-4996
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RH3661281 MI Primary

Addresses

Primary practice location

2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378

Mailing address

2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone (517) 333-4600

Other identifiers 1

IdentifierTypeStateIssuer
200000002586OtherMIPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050114000158 MI Practitioner - Family Practice 2668421850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RH3661281MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph a. Harvey MD, PLLC Family Medicine CurrentSince May 31, 2018 Accepting new patients
Sams Physical Therapy PC PastSince Jan 2, 2002 Accepting new patients

Locations

1350 E Lake Lansing Rd
Ste C
East Lansing, MI 48823
Phone (517) 977-0957

Interoperability endpoints

  • Direct secure messaging: ralph.harvey.1@17607.direct.athenahealth.com

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174644199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY",
            "address_2": "SUITE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY",
            "address_2": "SUITE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "RALPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RH3661281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000002586",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.