Active NPI
Mary Ann Harwood, DO
- Emergency Medicine Physician
- Bradenton, FL
National Provider Identifier
1376593103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 71022
- Practice address
- 315 75TH St W
Bradenton, FL 34209-3201 - Phone
- (941) 761-1616
- NPI assigned
- May 11, 2006
- Sex
- Female
- 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 | 71022 | MA | Primary |
Addresses
Primary practice location
315 75TH St W
Bradenton, FL 34209-3201
Mailing address
12 Gill St
Ste 3000
Woburn, MA 01801-1728
Phone (781) 937-4522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J17557 | Other | MA | BLUE SHIELD |
| 3163890 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Physician Network, LLC | Past | Accepting new patients | |
| Cape Cod Emergency Associates LLP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1457657934
-
- Emergency Medicine Physician
- Hyannis, MA
- NPI 1396462958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1376593103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GILL ST",
"address_2": "STE 3000",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011728",
"telephone_number": "781-937-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 75TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342093201",
"telephone_number": "941-761-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWOOD",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "71022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J17557",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3163890",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.