Organization Active NPI

Harvard Family Clinic Inc

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1215151600
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1460 Issued in OK
Legal business name
HARVARD FAMILY CLINIC INC
Practice address
3315 E 47TH PL
Suite 111
Tulsa, OK 74135-2914
Phone
(918) 748-8111
Fax
(918) 744-5284
NPI assigned
Apr 13, 2007
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Edwin A Berger, DO
Title
President
Phone
(918) 748-8111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1308 OK
Family Medicine Physician 207Q00000X 1460 OK Primary

Addresses

Primary practice location

3315 E 47TH PL
Suite 111
Tulsa, OK 74135-2914

Mailing address

3315 E 47TH PL
Suite 111
Tulsa, OK 74135-2914
Phone (918) 748-8111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1215151600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL",
            "address_2": "SUITE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352914",
            "telephone_number": "918-748-8111",
            "fax_number": "918-744-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL",
            "address_2": "SUITE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352914",
            "telephone_number": "918-748-8111",
            "fax_number": "918-744-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-748-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.