Individual provider Active NPI

Ira Harmon, MD

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1366460032
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0033826 Issued in FL
Practice address
580 W 8TH St
Suite 6017
Jacksonville, FL 32209-6533
Phone
(904) 354-0622
Fax
(904) 354-0623
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0033826 FL Primary

Addresses

Primary practice location

580 W 8TH St
Suite 6017
Jacksonville, FL 32209-6533

Mailing address

5685 Norwood Ave
Suite 6017
Jacksonville, FL 32208-5012
Phone (904) 354-0622

Other identifiers 1

IdentifierTypeStateIssuer
065485000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20101022000780 FL Practitioner - NephrologyPractitioner - Internal Medicine 8527165257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio State University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5685 Norwood Ave
Jacksonville, FL 32208-5012
Phone (904) 765-8838

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0033826FLMDSpecialist
33826FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Harmon MD PA Specialist CurrentSince Jul 1, 1981 Accepting new patients
Nephrology Group of Northeast PastSince Jun 1, 2006 Accepting new patients
S S Marathe MD PA Past Accepting new patients

Locations

5685 Norwood Ave
Jacksonville, FL 32208
Phone (904) 764-4467

5685 Norwood Ave
Ste 6017
Jacksonville, FL 32208

580 W 8th St
Ste 6017
Jacksonville, FL 32209
Phone (904) 354-0622

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDGHAD
  • Direct secure messaging: iharmon66020@direct.shands.ufl.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1366460032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 NORWOOD AVE",
            "address_2": "SUITE 6017",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085012",
            "telephone_number": "904-354-0622",
            "fax_number": "904-354-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 8TH ST",
            "address_2": "SUITE 6017",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096533",
            "telephone_number": "904-354-0622",
            "fax_number": "904-354-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0033826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065485000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.