Active NPI
Michael W. Harmon M.D. Inc
- Specialist
- Eureka, CA
National Provider Identifier
1376661975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 00G71219
- Legal business name
- MICHAEL W. HARMON M.D. INC
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501-4736 - Phone
- (707) 269-4229
- Fax
- (707) 269-3849
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael W Harmon, M.D.
- Title
- Owner
- Phone
- (707) 269-4229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00G71219 | CA | Primary |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501-4736
Mailing address
PO Box 368
Blue Lake, CA 95525-0368
Phone (707) 668-5743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088900 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1376661975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "BLUE LAKE",
"state": "CA",
"postal_code": "955250368",
"telephone_number": "707-668-5743",
"fax_number": "707-668-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014736",
"telephone_number": "707-269-4229",
"fax_number": "707-269-3849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL W. HARMON M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "HARMON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-269-4229",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "00G71219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.