Harry Andre Michel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R-4237 Issued in AR

Practice address

530 Atkins Blvd
Marianna, AR 72360-2113

Phone

(870) 295-5225

Fax

(870) 295-4070

NPI assigned

Jun 20, 2008

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lee County Cooperative Clinic

  • Federally Qualified Health Center (FQHC)
  • Marianna, AR
  • NPI 1669480836
  Medicare reassignment NPD
• Lee County Cooperative Clinic

  dba Lakeview Satellite Clinic

  • Federally Qualified Health Center (FQHC)
  • Wabash, AR
  • NPI 1356359442
  NPD
• Lee County Cooperative Clinic

  dba Madison Satellite Clinic

  • Federally Qualified Health Center (FQHC)
  • Madison, AR
  • NPI 1679581532
  NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1245491380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "address_2": "530 WEST ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723600669",
            "telephone_number": "870-295-5225",
            "fax_number": "870-295-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ATKINS BLVD",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602113",
            "telephone_number": "870-295-5225",
            "fax_number": "870-295-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "HARRY",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R-4237",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "R-4237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120190001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianna Family Medicine Clinic PLLC
• Ashley McCoy, RN
• Kimberly McFadden
• Charlotte McKee, RN
• Dixie Quinn Meyer, OTR
• Brittany Mitchell, DDS
• Louis C Mitchell, DDS
• Roneisha Nash
• Zenobia L Newman, FNP-BC
• Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)

• Family Medicine Physician in Marianna, AR
• Providers in Marianna, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.