Individual provider Active NPI

Derek Harmon, D.O.

  • Emergency Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1265768873
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58.003383 Issued in OH
Practice address
1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone
(740) 356-8051
Fax
(740) 353-7900
NPI assigned
Nov 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58.003383 OH Primary
Emergency Medicine Physician 207P00000X 34.010664 OH
Emergency Medicine Physician 207P00000X 2012-01702 NC

Addresses

Primary practice location

1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677

Mailing address

1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone (740) 356-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, WV, AL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20121017000864 OH Practitioner - Emergency Medicine 8123278694 Reassigns benefits to 1 organization
I20130529000193 NC Practitioner - Emergency Medicine 8123278694 Reassigns benefits to 3 organizations
I20241206001433 WV Practitioner - Emergency Medicine 8123278694 Reassigns benefits to 2 organizations
I20250217000951 AL Practitioner - Emergency Medicine 8123278694 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.003383OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince May 23, 2024 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince May 10, 2025 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Dec 14, 2024 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Racine Observation Medical Group, PLLC Emergency Medicine CurrentSince Aug 16, 2024 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 16, 2024 Accepting new patients
Wake Forest Emergency Providers CurrentSince Oct 21, 2024 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Dec 14, 2024 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Organizations & group practices 10

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1265768873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST",
            "address_2": "WALLER BUILDING, SUITE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622677",
            "telephone_number": "740-356-8051",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 27TH ST",
            "address_2": "WALLER BUILDING, SUITE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622677",
            "telephone_number": "740-356-8051",
            "fax_number": "740-353-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "DEREK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58.003383",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010664",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2012-01702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.