Organization Active NPI

Peter M Harvey

  • Durable Medical Equipment & Medical Supplies
  • Wichita Falls, TX
National Provider Identifier
1205018553
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0346 Issued in TX
Legal business name
PETER M HARVEY
Practice address
1612 10TH St
Wichita Falls, TX 76301-4307
Phone
(940) 723-1054
Fax
(940) 723-4646
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Peter M Harvey, DPM
Title
Owner
Phone
(940) 723-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0346 TX Primary

Addresses

Primary practice location

1612 10TH St
Wichita Falls, TX 76301-4307

Mailing address

1612 10TH St
Wichita Falls, TX 76301-4307
Phone (940) 723-1054

Other identifiers 3

IdentifierTypeStateIssuer
00F621OtherTXBLUE CROSS BLUE SHIELD
00F621OtherTXTAX ID NUMBER
346OtherTXSTATE LICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

1612 10th St
Wichita Falls, TX 76301
Phone (817) 723-1054

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1205018553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014307",
            "telephone_number": "940-723-1054",
            "fax_number": "940-723-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014307",
            "telephone_number": "940-723-1054",
            "fax_number": "940-723-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M HARVEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-723-1054",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00F621",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "00F621",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "346",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.