Individual provider Active NPI

Charles F. Harvey, MD

  • Neurological Surgery Physician
  • Independence, MO
National Provider Identifier
1235235938
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036114107 Issued in IL
Practice address
19550 E 39TH St S Ste 227
Independence, MO 64057-2358
Phone
(816) 301-7977
Fax
(855) 405-6571
NPI assigned
Sep 16, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036114107 IL Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 227
Independence, MO 64057-2358

Mailing address

19550 E 39TH St S Ste 227
Independence, MO 64057-2358
Phone (816) 301-7977

Other identifiers 2

IdentifierTypeStateIssuer
36114107MedicaidIL
4632039OtherILBC GROUP NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLES.HARVEY@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050924000113 IL Practitioner - Neurosurgery 0244264356 Reassigns benefits to 1 organization
I20201009001249 MO Practitioner - Neurosurgery 0244264356 Reassigns benefits to 1 organization
I20201012001443 KS Practitioner - Neurosurgery 0244264356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Orthopedics LLCGroup PAC ID 9032272026, 11 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 400
Overland Park, KS 66215-2304
Phone (913) 340-7980

19600 E 39TH St S
(Centerpoint Medical Center)
Independence, MO 64057-2301
Phone (816) 698-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion50
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114107ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Orthopedics, LLC CurrentSince Jan 13, 2024 Accepting new patients
Riverside Health System CurrentSince Jul 5, 2005 Accepting new patients
Riverside Health System CurrentSince Jul 5, 2005 Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

400 N Wall St
Ste 304
Kankakee, IL 60901
Phone (815) 932-6400

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

10550 Quivira Rd
Ste 110
Overland Park, KS 66215
Phone (913) 541-6088

10550 Quivira Rd
Ste 400
Overland Park, KS 66215
Phone (816) 350-4215

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1235235938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 227",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-301-7977",
            "fax_number": "855-405-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 227",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-301-7977",
            "fax_number": "855-405-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "CHARLES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036114107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36114107",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "4632039",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLES.HARVEY@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5340 College Blvd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.