Active NPI
Frederick W Harwick, DO
- Emergency Medicine Physician
- Palmer, MA
National Provider Identifier
1366459109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 72232
- Practice address
- 40 Wright St
Wing Memorial Hospital
Palmer, MA 01069 - Phone
- (413) 284-5308
- Fax
- (413) 284-5704
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 72232 | MA | Primary |
Addresses
Primary practice location
40 Wright St
Wing Memorial Hospital
Palmer, MA 01069
Mailing address
60 Hospital Rd
Wing Emergency Services PC
Leominster, MA 01453
Phone (978) 466-2994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3058786 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366459109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"address_2": "WING EMERGENCY SERVICES PC",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-466-2994",
"fax_number": "978-466-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WRIGHT ST",
"address_2": "WING MEMORIAL HOSPITAL",
"city": "PALMER",
"state": "MA",
"postal_code": "01069",
"telephone_number": "413-284-5308",
"fax_number": "413-284-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWICK",
"first_name": "FREDERICK",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "72232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3058786",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.